Lifeline Partners, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIFELINE PARTNERS, INC

Practice address

250 Debartolo PL
Suite 1535
Boardman, OH 44512-7004

Phone

(330) 759-5981

Fax

(330) 759-9677

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Burgdorf

Title

VP

Phone

(330) 759-5981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lifeline Partners, Inc

  • Cardiopulmonary Physical Therapist
  • Girard, OH
  • NPI 1154352482

  O20061213000168

  Same enrollment

Practitioners 1

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

• Alok Bhagat, M.D.

  • Neurology Physician
  • Dover, OH
  • NPI 1548292527
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1740474972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8005",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445058005",
            "telephone_number": "330-759-5981",
            "fax_number": "330-759-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DEBARTOLO PL",
            "address_2": "SUITE 1535",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445127004",
            "telephone_number": "330-759-5981",
            "fax_number": "330-759-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "BURGDORF",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "330-759-5981",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Leskovec, MSED,LPCC,LSW
• James E Lessick, DDS
• Zhenyu Tony Li, DO
• Vickie Lynn Liberatore
• Christopher W Liebig, MD
• Lawrence R Liguore, DDS
• Harold Joseph Liller Sr., LPCC-SUP
• Lillibonn
• Kathleen A. Lindstrom, PH.D.
• Pamella Linville

• Physical Therapist in Boardman, OH
• Providers in Boardman, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.