LIFE CLINIC, P.A.
NPI 1023296167
Chiropractor - Rehabilitation in St Louis Park, MN
About Life Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE CLINIC, P.A. (NPI 1023296167) is a healthcare organization registered as a rehabilitation in St Louis Park, Minnesota and active in the NPI registry since January 2008. The organization lists Reza P Alizadeh, Chiropractor, 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)
Life Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Life Clinic, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 29Source: 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 Life Clinic, P.A.'s NPI number?
The NPI number for Life Clinic, P.A. is 1023296167. It was assigned to this organization in the NPPES registry on January 31, 2008.
Where is Life Clinic, P.A. located?
Life Clinic, P.A. is located at 5525 Cedar Lake Rd S, St Louis Park, MN 55416. The listed phone number is (651) 690-0866.
What is Life Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.
Is Life Clinic, P.A. enrolled in Medicare?
Yes. Life Clinic, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Life Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 2 Medicare specialties reassign their Medicare billing to Life Clinic, P.A.. 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. The largest specialties are Chiropractic (26) and Physical Therapist in Private Practice (3). Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Life Clinic, P.A. was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Life Clinic, P.a. · NPI 1023296167
Rehabilitation organization in St Louis Park, Minnesota. Organization record, active in the CMS NPPES registry since January 31, 2008.
## Identity
- **NPI:** 1023296167 (Entity type: Organization)
- **Enumerated:** January 31, 2008
- **Primary specialty:** Chiropractor - Rehabilitation · taxonomy 111NR0400X
- **Organization subpart:** No
- **Authorized official:** Reza Alizadeh, CHIROPRACTOR
## Practice location
- **Address:** 5525 CEDAR LAKE RD S, St Louis Park, MN 55416-1420
- **Phone:** (651) 690-0866
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (26), Physical Therapist in Private Practice (3); 2 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1023296167/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1023296167) · Data from the CMS NPPES public registry.