Lifetime Redesign OT, PLLC
NPI 1013666403ActiveOrganization· Family Medicine, Geriatric Medicine· Saint Louis, MO
Family Medicine, Geriatric Medicine in Saint Louis, Missouri, registered in NPPES in March 2022. The authorized official on file is Joseph Mitchell, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1013666403 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2022 |
| Last updated in NPPES | May 29, 2025 |
| Certified by provider | May 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NC) |
|---|
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