Active NPI
Lifespan Therapy Services, Inc
- Clinic/Center
- Orlando, FL
National Provider Identifier
1750955506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LIFESPAN THERAPY SERVICES, INC
- Practice address
- 12001 Avalon Lake Dr Ste I
Orlando, FL 32828-7399 - Phone
- (407) 281-3803
- NPI assigned
- May 17, 2021
- Last updated
- May 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Diaz
- Title
- Ceo
- Phone
- (407) 281-3803
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
12001 Avalon Lake Dr Ste I
Orlando, FL 32828-7399
Mailing address
12001 Avalon Lake Dr Ste I
Orlando, FL 32828-7399
Phone (407) 281-3803
National Provider Directory
National Provider Directory- Tax ID family
- Lifespan Therapy Services Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
12001 Avalon Lake Dr
Ste I
Orlando, FL 32828
Phone (407) 281-3803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621209600000",
"number": "1750955506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 AVALON LAKE DR STE I",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287399",
"telephone_number": "407-281-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 AVALON LAKE DR STE I",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287399",
"telephone_number": "407-281-3803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPAN THERAPY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-281-3803"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Lifeline Vascular Center of South Orlando, LLC
- Lifemd Southern Patient Medical Care PC
- Lifeskills South Florida Outpatient LLC (Pasadena Villa Outpatient - Orlando)
- Lifespan Therapy Services Inc (The Therapy Place)
- Lifespan Therapy Services, Inc (The Therapy Place)
- Lifestairs Behavioral Health Center Inc
- Lifestyles Unlimited LLC (Life Alarm Direct)
- Lifewell Family Health & Psychiatry LLC
- Lift Spectrum Technologies, LLC
- John R Ligeon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.