OrganizationActive
Lifestyle Medical Group
NPI 1427465459 · Durable Medical Equipment & Medical Supplies · Caledonia, MN
Provider details
- NPI number
- 1427465459
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Melissa Hanson, Office Manager(507) 725-8883
Specialties & taxonomies
Suppliers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
405 S Highway 44 76
Caledonia, MN 55921-1861
Phone: (507) 725-8883
Fax: (651) 305-1846
Street-level locationGet directions
Mailing address
405 S Highway 44 76
Caledonia, MN 55921-1861
Registry dates
- Enumerated
- 2014-07-22
- Last updated
- 2014-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.