LIFESTYLE THERAPEUTIX (NPI# 1316323314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316323314 |
| Entity Type | Organization |
| Organization Name | LIFESTYLE THERAPEUTIX |
| Practice Address |
4825 University Sq Suite 9 Huntsville AL 35816-1826 |
| Mailing Address |
1660 Oscar Patterson Rd New Market AL 35761-9418 |
| Practice Telephone | 2563482144 |
| Mailing Telephone | 2563482144 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | MR. EDWARD TITUS GOODMAN III (OWNER) |
| Authorized Official Telephone | 2563482144 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PTH4539 | AL | Ambulatory Health Care Facilities |
| Street Address |
4825 UNIVERSITY SQ SUITE 9 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35816-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801988910 | Edward Titus Goodman IIi | Physical Therapist | 4825 University Sq, Suite 9, Huntsville, AL 35816-1826 | 2006-09-28 |
| 1841837564 | Hannah Marie Terry | Dietitian, Registered | 4825 University Sq, Huntsville, AL 35816-1826 | 2019-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068076 | Sarah Jean | Nurse Practitioner | 1610 Ben Graves Drive Nw, Huntsville, AL 35816 | 2020-03-13 |
| 1629553482 | Journey To New Beginnings | Social Worker | 2901 Fairbanks Drive, Huntsville, AL 35816 | 2018-09-27 |
| 1588173611 | Melissa Anne Carter | Registered Nurse | 4820 University Sq, Huntsville, AL 35816 | 2017-09-20 |
| 1902335326 | Matthew Gallien | Massage Therapist | 1200 Jordan Lane Suite 2, Huntsville, AL 35816 | 2017-06-08 |
| 1891242962 | Advantage Health Solutions,llc | Family Medicine | 4820 University Dr Ste 35, Huntsville, AL 35816 | 2016-09-07 |
| 1396291027 | Advantage Health Solutions,llc | Family Medicine | 4820 University Dr Ste 18, Huntsville, AL 35816 | 2016-09-01 |
| 1861726085 | Earl Williams | Massage Therapist | 4920 University Square, Suite D, Huntsville, AL 35816 | 2009-09-21 |
| 1114106234 | James Kennedy Olszewski | Chiropractor | 2417 Jordan Ln., Huntsville, AL 35816 | 2007-10-25 |
| 1932293180 | Jacquelyn Olivia Collins | Optometrist | 4925 University Drive Nw, Suite 102, Huntsville, AL 35816 | 2006-10-03 |
| 1912006735 | American Family Care, Inc. | General Practice | 4550 University Drive, Huntsville, AL 35816 | 2006-09-21 |
| Find all providers in zip 35816 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550702 | Good Samaritan Clinic Inc | Clinic/Center | 810 Shoney Dr Sw Ste 105, Huntsville, AL 35801-5450 | 2020-05-19 |
| 1053703843 | Encore Rehabilitation, Inc. | Clinic/Center | 600 Whitesport Dr Sw Ste C, Huntsville, AL 35801-6494 | 2015-03-03 |
| 1972870186 | Agilitas Usa, Inc | Clinic/Center | 4601 Whitesburg Dr Se Ste 102, Huntsville, AL 35802-1677 | 2011-11-17 |
| 1497987192 | Bob Wallace Wellness and Rehab Center Inc | Clinic/Center | 3316 Bob Wallace Ave Sw, Huntsville, AL 35805-4008 | 2009-08-13 |
| 1942240312 | Arc Therapy Services LLC | Clinic/Center | 2815 Carl T Jones Dr Se, Huntsville, AL 35802-1258 | 2006-06-07 |
| 1801411624 | Godspeed Esa Hoover Inc. | Clinic/Center | 7242 Bailey Cove Rd Se, Huntsville, AL 35802-2746 | 2020-06-09 |
| 1215479084 | True North Physical Therapy and Wellness, LLC | Clinic/Center | 805 Madison St Se, Suite E1, Huntsville, AL 35801-4419 | 2016-11-10 |
| 1649639303 | Agilitas Usa, Inc | Clinic/Center | 11310 Memorial Pkwy Sw Ste L, Huntsville, AL 35803-2495 | 2016-02-23 |
| 1558737684 | Austin Physical Therapy | Clinic/Center | 2089 Cecil Ashburn Dr Se, Ste 202, Huntsville, AL 35802-2567 | 2015-08-12 |
| 1659751030 | Focus Physiotherapy, LLC | Clinic/Center | 1140 Eagletree Ln Sw, Huntsville, AL 35801-7428 | 2015-06-01 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35816 |
Please comment or provide details below to improve the information on LIFESTYLE THERAPEUTIX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.