LONGEVITY PHYSICAL THERAPY
NPI 1568767309
Physical Therapist in Carlsbad, CA
About Longevity Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGEVITY PHYSICAL THERAPY (NPI 1568767309) is a healthcare organization registered as a physical therapist in Carlsbad, California and active in the NPI registry since January 2011. The organization maintains a secondary practice location in San Diego and lists Brett William Bloom, Ceo/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Longevity Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Longevity Physical Therapy, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 31Source: 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 Function For Life Physical Therapy, Inc.'s NPI number?
The NPI number for Function For Life Physical Therapy, Inc. is 1568767309. It was assigned to this organization in the NPPES registry on January 25, 2011. The provider is doing business as Longevity Physical Therapy.
Where is Function For Life Physical Therapy, Inc. located?
Function For Life Physical Therapy, Inc. is located at 2719 Loker Ave W Ste A, Carlsbad, CA 92010. The listed phone number is (760) 918-9200.
What is Function For Life Physical Therapy, Inc.'s specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Function For Life Physical Therapy, Inc. enrolled in Medicare?
Yes. Function For Life Physical Therapy, Inc. is registered in the Medicare PECOS enrollment system.
When is Function For Life Physical Therapy, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Function For Life Physical Therapy, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Function For Life Physical Therapy, Inc.. 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. Of these, 7 practice at this address and 16 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 Function For Life Physical Therapy, Inc. was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Longevity Physical Therapy · NPI 1568767309
Physical Therapist organization in Carlsbad, California. Organization record, active in the CMS NPPES registry since January 25, 2011.
## Identity
- **NPI:** 1568767309 (Entity type: Organization)
- **Enumerated:** January 25, 2011
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Legal business name:** Function For Life Physical Therapy, Inc.
- **Organization subpart:** No
- **Authorized official:** Brett Bloom, CEO/OWNER
## Practice location
- **Address:** 2719 LOKER AVE W STE A, Carlsbad, CA 92010-6679
- **Phone:** (760) 918-9200 · **Fax:** (760) 918-9203
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, California, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 31 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 7 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1568767309/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1568767309) · Data from the CMS NPPES public registry.