Lifetime Sports and Physical Therapy Center, PA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1103719 Issued in KS

Legal business name

LIFETIME SPORTS AND PHYSICAL THERAPY CENTER, PA

Practice address

521 S Santa Fe Ave Ste a
Salina, KS 67401-4162

Phone

(785) 643-4416

NPI assigned

Sep 16, 2014

Last updated

Oct 15, 2014By 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

Nathan A Lee

Title

Physical Therapist

Phone

(785) 643-4416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1922400431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S SANTA FE AVE STE A",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S SANTA FE AVE STE A",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014162",
            "telephone_number": "785-643-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME SPORTS AND PHYSICAL THERAPY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "785-643-4416"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "1103719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Salina, KS
• Providers in Salina, KS by specialty
• Physical Therapy Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.