Lifetime Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LIFETIME WELLNESS CENTER

Doing business as

Sports Therapy USA

Practice address

1055 S Arizona Ave
Suite 1
Chandler, AZ 85248-1511

Phone

(480) 917-7246

Fax

(480) 899-4207

NPI assigned

Jul 2, 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. John Marsh

Title

Owner

Phone

(602) 430-5203

Specialties & licenses 1

Addresses

Other names 1

• SPORTS THERAPY USA Doing business as

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902835796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20928 N JOHN WAYNE PKWY",
            "address_2": "C-13",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "852392922",
            "telephone_number": "602-430-5203",
            "fax_number": "520-568-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S ARIZONA AVE",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852481511",
            "telephone_number": "480-917-7246",
            "fax_number": "480-899-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-430-5203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPORTS THERAPY USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lifequest Physical Medicine and Rehab (Chandler Ray 2, LLC)
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• Lifequest Physical Medicine and Rehab (Chandler Ray 3, LLC)
• Lifestyle Family Medicine LLC
• Lifetime Cardiovascular, PLC
• Mallory Light
• Lilac Healthcare LLC (Lilac Ob-Gyn)
• Lilac Healthcare LLC (Lilac Ob-gyn)
• Lauren Lill
• Jessica Lillibridge, MA, BCBA

• Chiropractor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Chiropractor in Arizona

• 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.