LIFE RESTORATION PLACE LLC - NPI 1225702996 - Clinic/Center in Oklahoma City, OK

Q: What is Life Restoration Place LLC's NPI number?

The NPI number for Life Restoration Place LLC is 1225702996. It was assigned to this organization in the NPPES registry on August 5, 2021.

Q: What is Life Restoration Place LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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About Life Restoration Place Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE RESTORATION PLACE LLC (NPI 1225702996) is a healthcare organization registered as a multi-specialty in Oklahoma City, Oklahoma and active in the NPI registry since August 2021. The organization lists Lee Germany, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1225702996

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameLIFE RESTORATION PLACE LLC

Location Address1211 N SHARTEL AVE STE 801Oklahoma City, OK 73103-2425

Mailing Address14433 Locust StPiedmont, OK 73078-8910 · (405) 488-7543

Phone(405) 504-5433

Organization SubpartNo

Authorized OfficialLee GermanyPhysician Assistant · (405) 488-7543

Enumeration DateAugust 5, 2021

NPPES CertifiedAugust 5, 2021

✔ NPI 1225702996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysical Therapy AssistantTaxonomy 225200000X

Also ListedMassage TherapistTaxonomy 225700000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1211 N SHARTEL AVE STE 801, Oklahoma City, OK 73103

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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 5

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

LIFEBRIDGE MEDICAL LLC

Pain Medicine (Pain Medicine)