LIFESTREAM THERAPY INC
NPI 1750903100
Clinic/Center - Physical Therapy in Bradenton, FL

Active since May 08, 2020
12292 LONGVIEW LAKE CIR, BRADENTON, FL 34211(585) 319-8335 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lifestream Therapy Inc NPPES

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

LIFESTREAM THERAPY INC (NPI 1750903100) is a healthcare organization registered as a physical therapy in Bradenton, Florida and active in the NPI registry since May 2020. The organization lists Marlon Chuah Birrey, Owner, as its authorized official.

NPPES Registry Identity

NPI1750903100
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLIFESTREAM THERAPY INC
Location Address12292 LONGVIEW LAKE CIRBradenton, FL 34211-4965
Mailing Address12292 Longview Lake CirBradenton, FL 34211-4965 · (585) 319-8335
Organization SubpartNo
Authorized OfficialMarlon Chuah BirreyOwner · (585) 319-8335
Enumeration DateMay 8, 2020
NPPES CertifiedMay 8, 2020
✔ NPI 1750903100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
12292 LONGVIEW LAKE CIR, Bradenton, FL 34211

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lifestream Therapy Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Occupational Therapist in Private Practice
NPI 1780929190
12292 LONGVIEW LAKE CIR
Bradenton, FL 34211
(941) 993-3063
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1528390242
2888 RINGLING BLVD UNIT C&D
Sarasota, FL 34237
(585) 319-8335
✔ Accepts Medicare10 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 Lifestream Therapy Inc's NPI number?

The NPI number for Lifestream Therapy Inc is 1750903100. It was assigned to this organization in the NPPES registry on May 8, 2020.

Where is Lifestream Therapy Inc located?

Lifestream Therapy Inc is located at 12292 Longview Lake Cir, Bradenton, FL 34211. The listed phone number is (585) 319-8335.

What is Lifestream Therapy Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Lifestream Therapy Inc enrolled in Medicare?

Yes. Lifestream Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifestream Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lifestream Therapy Inc, in Occupational Therapist in Private Practice and Physical Therapist in Private Practice. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifestream Therapy Inc was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.