Lifelong Wellness Llc is a medicare enrolled "Clinic/center" provider in Coral Springs, Florida. Their current practice location is
2234 N University Dr, Coral Springs, Florida. You can reach out to their office (for appointments etc.) via phone at
(954) 779-4549.
Lifelong Wellness Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lifelong Wellness Llc
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 1083360382.
Healthcare Provider's Profile
| Full Name | Lifelong Wellness Llc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center |
|---|
| Location | 2234 N University Dr, Coral Springs, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1083360382
- Provider Enumeration Date: 02/24/2022
- Last Update Date: 03/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 0244611580
- Enrollment ID: O20220719000663
Medical Identifiers
Medical identifiers for Lifelong Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083360382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 2251C2600X | Physical Therapist - Cardiopulmonary | (* (Not Available)) | Secondary |
| 2251E1200X | Physical Therapist - Ergonomics | (* (Not Available)) | Secondary |
| 2251E1300X | Physical Therapist - Electrophysiology, Clinical | (* (Not Available)) | Secondary |
| 2251G0304X | Physical Therapist - Geriatrics | (* (Not Available)) | Secondary |
| 2251H1200X | Physical Therapist - Hand | (* (Not Available)) | Secondary |
| 2251H1300X | Physical Therapist - Human Factors | (* (Not Available)) | Secondary |
| 2251N0400X | Physical Therapist - Neurology | (* (Not Available)) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lifelong Wellness Llc acts as a billing entity for following providers:
| Provider Name | Raymond E Masse |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1255418711
PECOS PAC ID: 0143311944
Enrollment ID: I20070808000677 |
|---|
| Provider Name | Susan March |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1972605806
PECOS PAC ID: 6608951553
Enrollment ID: I20080409000732 |
|---|
| Provider Name | Vincent Forzano |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1194913079
PECOS PAC ID: 7012068984
Enrollment ID: I20090706000649 |
|---|
| Provider Name | Amanda Francois |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1164856472
PECOS PAC ID: 1658505516
Enrollment ID: I20131008000812 |
|---|
| Provider Name | Renee Bouquette |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1033517362
PECOS PAC ID: 8325475965
Enrollment ID: I20200220002696 |
|---|
| Provider Name | Oron Fiksel |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1558603191
PECOS PAC ID: 8325288798
Enrollment ID: I20220719001140 |
|---|
| Provider Name | Angelene Belle Dimaano |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1093440919
PECOS PAC ID: 7315320561
Enrollment ID: I20220820000017 |
|---|
| Provider Name | Rebeka Rincon |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1124886510
PECOS PAC ID: 4981148533
Enrollment ID: I20240708000334 |
|---|
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. Lifelong Wellness Llc 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 |
|---|
Lifelong Wellness Llc
2234 N University Dr,
Coral Springs, FL 33071-6184
Ph: () - | Lifelong Wellness Llc
2234 N University Dr,
Coral Springs, FL 33071-6184
Ph: (954) 779-4549 |
Reviews and Comments