Provider Demographics
NPI:1578566493
Name:NEWLIFETHERAPY CENTERS, INC.
Entity type:Organization
Organization Name:NEWLIFETHERAPY CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:ORRA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-882-3060
Mailing Address - Street 1:3335 MEIJER DR
Mailing Address - Street 2:STE 400
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-3105
Mailing Address - Country:US
Mailing Address - Phone:419-882-3060
Mailing Address - Fax:419-724-1059
Practice Address - Street 1:3335 MEIJER DR
Practice Address - Street 2:STE 400
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-3105
Practice Address - Country:US
Practice Address - Phone:419-882-3060
Practice Address - Fax:419-724-1059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0004242104100000X
OHPT007442225100000X
OHPTA02073225200000X
OH3301293225700000X
OHOT001593225X00000X
OHRCP4738227800000X
OHRCP2468227800000X
OHRCP1936227900000X
OHRCP5021227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty
Not Answered227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2322990Medicaid
OH2322990Medicaid
OH364526Medicare ID - Type UnspecifiedSECOND PHYSICAL LOCATION