LIFETIME REDESIGN OT, PLLC
NPI 1013666403
Family Medicine - Geriatric Medicine in Saint Louis, MO
About Lifetime Redesign Ot, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFETIME REDESIGN OT, PLLC (NPI 1013666403) is a healthcare organization registered as a geriatric medicine in Saint Louis, Missouri and active in the NPI registry since March 2022. The organization lists Joseph Mitchell, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifetime Redesign Ot, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifetime Redesign Ot, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lifetime Redesign Ot, PLLC's NPI number?
The NPI number for Lifetime Redesign Ot, PLLC is 1013666403. It was assigned to this organization in the NPPES registry on March 22, 2022.
Where is Lifetime Redesign Ot, PLLC located?
Lifetime Redesign Ot, PLLC is located at 12395 Olive Blvd Ste 200, Saint Louis, MO 63141. The listed phone number is (646) 319-9017.
What is Lifetime Redesign Ot, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Lifetime Redesign Ot, PLLC enrolled in Medicare?
Yes. Lifetime Redesign Ot, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifetime Redesign Ot, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Lifetime Redesign Ot, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lifetime Redesign Ot, PLLC was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lifetime Redesign Ot, Pllc · NPI 1013666403
Geriatric Medicine organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1013666403 (Entity type: Organization)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Joseph Mitchell, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 12395 OLIVE BLVD STE 200, Saint Louis, MO 63141-5465
- **Phone:** (646) 319-9017
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Geriatric Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1013666403) · Data from the CMS NPPES public registry.