Livelife Therapy Solutions

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

LIVELIFE THERAPY SOLUTIONS

Doing business as

Technology for HOME

Practice address

8100 Penn Ave S Ste 137
Bloomington, MN 55431-1325

Phone

(612) 968-0832

Fax

(952) 921-8334

NPI assigned

Dec 9, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Susan Ann Redepenning, OTR

Title

Program Director/President

Phone

(612) 968-0832

Specialties & licenses 1

Addresses

Other names 1

• Technology for HOME Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1629615612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 PENN AVE S STE 137",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311325",
            "telephone_number": "612-968-0832",
            "fax_number": "952-921-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 PENN AVE S STE 137",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311325",
            "telephone_number": "612-968-0832",
            "fax_number": "952-921-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVELIFE THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "REDEPENNING",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "612-968-0832",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Technology for HOME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Technology for HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Link, MD
• Nicole E Lipinski, PA-C
• Lisa S. Squire, PHD, LP, PA
• Lisa List
• Yuchen Liu, BACHELOR OF SCIENCE
• Living Promise, LLC (Promise Care)
• Miah Faye Livingston
• Pablo Luis Lizardi, MD
• Kimberly Lloyd, EDS
• Hunter Toukeng Lo

• Rehabilitation Practitioner in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Rehabilitation Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.