Lifeline Physical Therapy Pllc is a medicare enrolled "Physical Therapist" provider in Brooklyn, New York. Their current practice location is
3060 Ocean Ave, Brooklyn, New York. You can reach out to their office (for appointments etc.) via phone at
(347) 816-7557.
Lifeline Physical Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lifeline Physical Therapy Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1790927184.
Healthcare Provider's Profile
| Full Name | Lifeline Physical Therapy Pllc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 3060 Ocean Ave, Brooklyn, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790927184
- Provider Enumeration Date: 03/31/2009
- Last Update Date: 12/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375689292
- Enrollment ID: O20091007000407
Medical Identifiers
Medical identifiers for Lifeline Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790927184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | 019879-1 (New York) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lifeline Physical Therapy Pllc acts as a billing entity for following providers:
| Provider Name | Natalee Kan |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1285612960 PECOS PAC ID: 2567434558 Enrollment ID: I20040810001049 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lifeline Physical Therapy Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lifeline Physical Therapy Pllc 1120 Brighton Beach Ave. #32, Brooklyn, NY 11235 Ph: (347) 816-7557 | Lifeline Physical Therapy Pllc 3060 Ocean Ave, Brooklyn, NY 11235 Ph: (347) 816-7557 |
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