Lifestream Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LIFESTREAM THERAPY INC

Practice address

12292 Longview Lake Cir
Bradenton, FL 34211-4965

Phone

(585) 319-8335

NPI assigned

May 8, 2020

Last updated

May 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marlon Chuah Birrey, PTNPI 1528390242

Title

Owner

Phone

(585) 319-8335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marlon Chuah Birrey, PT

  • Physical Therapist
  • Sarasota, FL
  • NPI 1528390242
  Medicare reassignment Care Compare group Authorized official
• Stephanie Marie Aleandri, OTR/L

  • Occupational Therapist
  • Bradenton, FL
  • NPI 1780929190
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1750903100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12292 LONGVIEW LAKE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114965",
            "telephone_number": "585-319-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12292 LONGVIEW LAKE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114965",
            "telephone_number": "585-319-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "BIRREY",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "CHUAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-319-8335",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen F Liebert, MD
• Maryjane Lucille Liebling, DO
• Life Force Academy, Inc.
• Life Pharmacy Inc
• Lifestream Family Medicine P.a.
• Sandra Light, RPH
• Lincare Inc.
• Lincare Pulmonary Rehab Serives of Florida, P.L.
• David L Lindow, D.D.S.
• Lindsey Ayala Sports Therapy LLC

• Physical Therapy Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.