LIFE CLINIC OF PA PC
NPI 1396234076
Chiropractor in Wayne, PA
About Life Clinic Of Pa Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE CLINIC OF PA PC (NPI 1396234076) is a healthcare organization registered as a chiropractor in Wayne, Pennsylvania and active in the NPI registry since May 2018. The organization lists Reza Alizadeh, Owner/dc, 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 Of Pa Pc 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 Life Clinic Of PA PC, 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 Life Clinic Of PA PC's NPI number?
The NPI number for Life Clinic Of PA PC is 1396234076. It was assigned to this organization in the NPPES registry on May 8, 2018.
Where is Life Clinic Of PA PC located?
Life Clinic Of PA PC is located at 700 E. Swedesford Rd., Wayne, PA 19087. The listed phone number is (952) 229-7464.
What is Life Clinic Of PA PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Life Clinic Of PA PC enrolled in Medicare?
Yes. Life Clinic Of PA PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Life Clinic Of PA PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Life Clinic Of PA PC. 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 Life Clinic Of PA PC was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Of Pa Pc · NPI 1396234076
Chiropractor organization in Wayne, Pennsylvania. Organization record, active in the CMS NPPES registry since May 8, 2018.
## Identity
- **NPI:** 1396234076 (Entity type: Organization)
- **Enumerated:** May 8, 2018
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Reza Alizadeh, OWNER/DC
## Practice location
- **Address:** 700 E. SWEDESFORD RD., Wayne, PA 19087
- **Phone:** (952) 229-7464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396234076) · Data from the CMS NPPES public registry.