LIFE IV THERAPY PLLC
NPI 1396563821
Internal Medicine - Obesity Medicine in Tecumseh, MI

Q: What is Life IV Therapy PLLC's NPI number?

The NPI number for Life IV Therapy PLLC is 1396563821. It was assigned to this organization in the NPPES registry on October 2, 2024. The provider is doing business as Life IV Weight Loss.

Q: What is Life IV Therapy PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Active since October 02, 2024

5433 S OCCIDENTAL RD STE C, TECUMSEH, MI 49286(517) 273-3210(734) 418-9068 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2024, Oct 2, 2024 (2 updates tracked since 2024).

On this page

About Life Iv Therapy Pllc NPPES

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

LIFE IV THERAPY PLLC (NPI 1396563821), doing business as Life Iv Weight Loss, is a healthcare organization registered as an obesity medicine in Tecumseh, Michigan and active in the NPI registry since October 2024. The organization lists Justin Henry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396563821

Entity TypeOrganization

Primary Taxonomy207RB0002X

Legal Business NameLIFE IV THERAPY PLLC

Location Address5433 S OCCIDENTAL RD STE CTecumseh, MI 49286-9782

Mailing Address5433 S Occidental Rd Ste CTecumseh, MI 49286-9782 · (517) 273-3210 · Fax (734) 418-9068

Phone(517) 273-3210

Fax(734) 418-9068

Organization SubpartNo

Authorized OfficialJustin HenryCeo · (517) 273-3210

Enumeration DateOctober 2, 2024

Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2026

✔ NPI 1396563821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RB0002X

Definition

An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

5433 S OCCIDENTAL RD STE C, Tecumseh, MI 49286

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Other Names 1

Doing Business AsLife Iv Weight Loss

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Iv Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Life IV Therapy PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Abbey Brown, FNP-BC

Nurse Practitioner

NPI 1538975198

5449 S OCCIDENTAL RD
Tecumseh, MI 49286

(517) 423-3901

✔ PECOS✔ Accepts Medicare1.8 mi

Victor Cherfan, D.O.

Obstetrics/Gynecology

NPI 1841419421

901 KIMOLE LN SUITE A-1
Adrian, MI 49221

(419) 264-0590

✔ PECOS✔ Accepts Medicare5.7 mi

Eowyn Boyd, NP

Nurse Practitioner

NPI 1356937379

1325 N MAIN ST STE B
Adrian, MI 49221

(517) 273-3210

✔ PECOS✔ Accepts Medicare7.2 mi

Kathryn Castorena, NP

Nurse Practitioner

NPI 1659793420

1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CENTER RECP B
Ann Arbor, MI 48109

(734) 936-8857

✔ PECOS25 mi

Jasmina Mesic

Registered Dietitian or Nutrition Professional

NPI 1730940156

1440 W TAYLOR ST
Chicago, IL 60607

(224) 770-9996

191 mi

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 IV Therapy PLLC's NPI number?

The NPI number for Life IV Therapy PLLC is 1396563821. It was assigned to this organization in the NPPES registry on October 2, 2024. The provider is doing business as Life IV Weight Loss.

Where is Life IV Therapy PLLC located?

Life IV Therapy PLLC is located at 5433 S Occidental Rd Ste C, Tecumseh, MI 49286. The listed phone number is (517) 273-3210.

What is Life IV Therapy PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Is Life IV Therapy PLLC enrolled in Medicare?

Yes. Life IV Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life IV Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Life IV Therapy 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. The largest specialties are Nurse Practitioner (3), Obstetrics/Gynecology (1) and Registered Dietitian or Nutrition Professional (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Life IV Therapy PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Life IV Therapy PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life IV Therapy PLLC was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.