Lifetime Redesign OT, PLLC
NPI 1013666403 · Geriatric Medicine (Family Medicine) Physician · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifetime Redesign OT, PLLC is a Geriatric Medicine (Family Medicine) Physician organization in Saint Louis, MO (NPI 1013666403).
Provider details
- NPI number
- 1013666403
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Mitchell, Authorized Official(270) 993-4789
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Frequently asked questions
- What is Lifetime Redesign OT, PLLC's NPI number?
- Lifetime Redesign OT, PLLC's National Provider Identifier (NPI) is 1013666403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifetime Redesign OT, PLLC?
- Lifetime Redesign OT, PLLC is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Lifetime Redesign OT, PLLC located?
- Lifetime Redesign OT, PLLC's practice location on file with NPPES is 12395 Olive Blvd Ste 200, Saint Louis, MO 63141-5465.
- What is Lifetime Redesign OT, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lifetime Redesign OT, PLLC is (646) 319-9017.
- Does Lifetime Redesign OT, PLLC accept Medicare?
- Lifetime Redesign OT, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifetime Redesign OT, PLLC?
- The authorized official listed on Lifetime Redesign OT, PLLC's NPPES record is Joseph Mitchell, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifetime Redesign OT, PLLC's NPI active?
- Yes — Lifetime Redesign OT, PLLC's NPI (1013666403) is active in the NPPES registry as of the last update on 2025-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.