Lifestyle Prosthetics & Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

TA1E3F96683073 Issued in MA

Legal business name

LIFESTYLE PROSTHETICS & ORTHOTICS, INC.

Practice address

27 Charles St
North Andover, MA 01845-1664

Phone

(978) 688-7900

Fax

(978) 688-7938

NPI assigned

Feb 10, 2006

Last updated

Aug 22, 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

Mr. Robert Emerson, CP

Title

President

Phone

(978) 688-7900

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851364764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CHARLES ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451664",
            "telephone_number": "978-688-7900",
            "fax_number": "978-688-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CHARLES ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451664",
            "telephone_number": "978-688-7900",
            "fax_number": "978-688-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-688-7900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MA",
            "license": "TA1E3F96683073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526341",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "AA50699",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey M Libby
• Sarah Olivia Libby, OTR/L
• Whitney A Liechti, DPT
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• Lilac Counseling
• Kimberly T. Limoli, DPT
• Lindea Inc (Northeast Home Health Care)
• Linden Recovery Therapy Services
• Andrea Lippman

• Prosthetic/Orthotic Supplier in North Andover, MA
• Providers in North Andover, MA by specialty
• Prosthetic/Orthotic Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.