NPIMap

Organization Active NPI

Lifeclinic Physical Therapy & Chiropractic LLC

  • Chiropractor
  • Coral Gables, FL
National Provider Identifier
1679937601
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIFECLINIC PHYSICAL THERAPY & CHIROPRACTIC LLC
Practice address
237 S Dixie Hwy
Coral Gables, FL 33133-4824
Phone
(786) 437-4458
Fax
(952) 658-2826
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Dr. Reza Pour Alizadeh, DCNPI 1538214598
Title
Chiropractor/Owner
Phone
(612) 868-6894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

237 S Dixie Hwy
Coral Gables, FL 33133-4824

Mailing address

PO Box 686
Chanhassen, MN 55317-0686
Phone (786) 437-4458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160823001445 FL Part B Supplier - Clinic/Group Practice 7214222793 Receives reassigned benefits from 5 practitioners
Practice locations: Boca Raton, FL; Coral Gables, FL; Miami, FL; Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Locations

1499 W Yamato Rd
Boca Raton, FL 33431
Phone (561) 208-5900

8778 SW 136th St
Miami, FL 33176
Phone (561) 674-4373

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1679937601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553170686",
            "telephone_number": "786-437-4458",
            "fax_number": "952-658-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 S DIXIE HWY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331334824",
            "telephone_number": "786-437-4458",
            "fax_number": "952-658-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECLINIC PHYSICAL THERAPY & CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "POUR",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "612-868-6894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.