LIFE RESTORATION PLACE LLC NPI 1225702996

NPI Information

  • NPI: 1225702996
  • Provider Name: LIFE RESTORATION PLACE LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 1211 N SHARTEL AVE STE 801
    OKLAHOMA CITY, OK
    ZIP 73103
  • Phone: (405) 504-5433

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NPI Details

LIFE RESTORATION PLACE LLC is a multi-specialty clinic center in Oklahoma City, OK. LIFE RESTORATION PLACE LLC NPI is 1225702996. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK
ZIP 73103-425
Phone: (405) 504-5433

The provider's authorized official is Lee Germany .
The authorized official title is Physician Assistant and has the following contact phone number (405) 488-7543.

The enumeration date for this NPI number is 8/5/2021 and was last updated on 8/5/2021.

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
2171M00000XCase Manager/Care CoordinatorNo
3224Z00000XOccupational Therapy AssistantNo
4225100000XPhysical TherapistNo
5225200000XPhysical Therapy AssistantNo
6225700000XMassage TherapistNo
7225X00000XOccupational TherapistNo
8363A00000XPhysician AssistantNo
9363L00000XNurse PractitionerNo
10261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

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