MEDICARE: LIFELONG WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225200000X	Physical Therapy Assistant
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist
4	2251E1200X	Ergonomics Physical Therapist
5	2251C2600X	Cardiopulmonary Physical Therapist
6	225X00000X	Occupational Therapist
7	2251S0007X	Sports Physical Therapist
8	2251P0200X	Pediatric Physical Therapist
9	2251H1200X	Hand Physical Therapist
10	2251X0800X	Orthopedic Physical Therapist
11	2251H1300X	Human Factors Physical Therapist
12	2251G0304X	Geriatric Physical Therapist
13	2251E1300X	Clinical Electrophysiology Physical Therapist
14	2251N0400X	Neurology Physical Therapist
15	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083360382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFELONG WELLNESS LLC

Provider Business Mailing Address
First Line	:	2234 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6184
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2234 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6184
Country	:	US
Telephone Number	:	954-779-4549
Fax Number	:	954-323-1847

Authorized Official
Title or Position	:	OWNER
Name	:	AMIRA DRORI
Credential	:
Telephone Number	:	954-779-4549

Provider Enumeration Date	:	02/24/2022
Last Update Date	:	03/06/2026

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Directions to “LIFELONG WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

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