Lifeskills Physical Therapy and Rehabilitation, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2606 Issued in NM

Legal business name

LIFESKILLS PHYSICAL THERAPY AND REHABILITATION, LLC

Practice address

4152 Soaring Eagle LN
Santa Fe, NM 87507-0817

Phone

(505) 470-2082

Fax

(505) 473-3100

NPI assigned

Jan 7, 2007

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 O Bachicha, PTNPI 1578866968

Title

Owner and Service Provider

Phone

(505) 470-2082

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Robert O Bachicha, PT

  • Massage Therapist
  • Santa Fe, NM
  • NPI 1578866968
  NPD (past) Authorized official

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952459158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 SOARING EAGLE LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875070817",
            "telephone_number": "505-470-2082",
            "fax_number": "505-473-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 SOARING EAGLE LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875070817",
            "telephone_number": "505-470-2082",
            "fax_number": "505-473-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS PHYSICAL THERAPY AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACHICHA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER AND SERVICE PROVIDER",
        "authorized_official_telephone_number": "505-470-2082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "2606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D4583",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lifecare Health Services LLC
• Lifespan Therapy Services, Inc.
• Lifesphere LLC
• Lifted Clinical Practice, PLLC
• Light Harmonics Institute
• Light on Life Counseling & Wellness

• Home Health Agency in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Home Health Agency in New Mexico

• 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.