LIFETIME REDESIGN OT PLLC NPI 1013666403

NPI Information

  • NPI: 1013666403
  • Provider Name: LIFETIME REDESIGN OT, PLLC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 12395 OLIVE BLVD STE 200
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (646) 319-9017

Map and Directions

Get Directions

NPI Details

LIFETIME REDESIGN OT, PLLC is a geriatric medicine family medicine in Saint Louis, MO. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. LIFETIME REDESIGN OT, PLLC NPI is 1013666403. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12395 OLIVE BLVD STE 200
SAINT LOUIS, MO
ZIP 63141-465
Phone: (646) 319-9017

The provider's authorized official is Joseph Mitchell .
The authorized official title is Authorized Official and has the following contact phone number (270) 993-4789.

The enumeration date for this NPI number is 3/22/2022 and was last updated on 5/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI