LIFESTREAM THERAPY INC (NPI# 1750903100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750903100 |
| Entity Type | Organization |
| Organization Name | LIFESTREAM THERAPY INC |
| Practice Address |
12292 Longview Lake Cir Bradenton FL 34211-4965 |
| Practice Telephone | 5853198335 |
| Mailing Telephone | 5853198335 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | MARLON CHUAH BIRREY (OWNER) |
| Authorized Official Telephone | 5853198335 |
| 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 |
Ambulatory Health Care Facilities |
| Street Address |
12292 LONGVIEW LAKE CIR |
| City | BRADENTON |
| State | FL |
| Zip Code | 34211-4965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1457992414 | Center for Home Dialysis At Lakewood Ranch LLC | Clinic/Center | 1939 Worth Court, Lakewood Ranch, FL 34211 | 2019-10-01 |
| 1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
| 1326557349 | Fabio Rodriguez | Student in an Organized Health Care Education/Training Program | 5000 Lakewood Ranch Blvd, Bradenton, Fl 34211, Bradenton, FL 34211 | 2017-09-21 |
| 1972906121 | Linda Michelle Sizler | Social Worker | 5460 Lena Road, Suite 103, Bradenton, FL 34211 | 2014-10-02 |
| 1972911147 | Cory Matthew Collier | Optometrist | 5489 Lena Rd, Bradenton, FL 34211 | 2014-07-31 |
| 1184069312 | Cassandra Lucia D'addeo | Marriage & Family Therapist | 5454 Lena Rd Unit 106, Bradenton, FL 34211 | 2013-05-01 |
| 1073764338 | Lyndsey K Nalu | Audiologist | 11041 Gatewood Dr, Lakewood Ranch, FL 34211 | 2008-10-06 |
| 1245412451 | Richard A Saladino | Clinic/Center | 11009 Gatewood Dr, #103, Bradenton, FL 34211 | 2007-11-29 |
| 1568528461 | Yusef Cornel Barnes | Chiropractor | 1859 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2006-12-28 |
| Find all providers in zip 34211 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447816657 | Skyway Physical Therapy LLC | Clinic/Center | 7750 Plantation Cir, Bradenton, FL 34201-2064 | 2019-05-13 |
| 1962574541 | Bollettieri Sports Medicine Center | Clinic/Center | 5500 34th Street West, Bradenton, FL 34210-3506 | 2006-11-15 |
| 1073695573 | Arc Therapy Services LLC | Clinic/Center | 6406 21st Ave W, Bradenton, FL 34209-7850 | 2006-10-20 |
| 1407952914 | Alternative P.t.,inc. | Clinic/Center | 5801 Braden Run, Bradenton, FL 34202-9402 | 2006-09-15 |
| 1003820978 | Physiotherapy Associates Inc | Clinic/Center | 7274 55th Ave E, Bradenton, FL 34203-8002 | 2006-07-28 |
| 1679592844 | Physiotherapy Associates Inc | Clinic/Center | 6404 Cortez Rd W, Bradenton, FL 34210-2605 | 2006-07-19 |
| 1871582742 | Bay Area Physical Therapy LLC | Clinic/Center | 3657 Cortez Rd W, Suite 110, Bradenton, FL 34210-3198 | 2005-10-13 |
| 1447737515 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1105 53rd Ave E, Bradenton, FL 34203-4897 | 2018-07-23 |
| 1700230620 | Concierge Physical Therapy Services Pllc | Clinic/Center | 3103 Manatee Ave W, Bradenton, FL 34205-3350 | 2016-04-17 |
| 1467838102 | Nalin LLC | Clinic/Center | 5860 Ranch Lake Blvd, Suite A, Bradenton, FL 34202-3708 | 2015-08-05 |
| Find all providers in BRADENTON | ||||
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| 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.