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LIFETIME REDESIGN OT, PLLC
NPI 1013666403
Family Medicine - Geriatric Medicine in Saint Louis, MO

Active since March 22, 2022
12395 OLIVE BLVD STE 200, SAINT LOUIS, MO 63141(646) 319-9017 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1013666403
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameLIFETIME REDESIGN OT, PLLC
Location Address12395 OLIVE BLVD STE 200Saint Louis, MO 63141-5465
Mailing Address1449 S Michigan Ave Ste 13138Chicago, IL 60605-2810 · (646) 319-9017
Phone(646) 319-9017
Organization SubpartNo
Authorized OfficialJoseph MitchellAuthorized Official · (270) 993-4789
Enumeration DateMarch 22, 2022
Last NPPES UpdateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1013666403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
12395 OLIVE BLVD STE 200, Saint Louis, MO 63141
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELI HEALTH PC
Family Medicine (Geriatric Medicine)
12395 OLIVE BLVD STE 200
SAINT LOUIS, MO 63141
St. Louis County (646) 319-9017
INTEGRATED SENIOR CARE PC
Family Medicine (Geriatric Medicine)
12395 OLIVE BLVD STE 200
SAINT LOUIS, MO 63141
St. Louis County (636) 233-7249

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.

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 14 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.