Active For Life Rehabilitation, Llc
LBN: Active For Life Rehabilitation, Llc
Active For Life Rehabilitation, Llc is an health care organization with primary practice located at 4164 Lonicera Loop , Saint Johns FL 32259-4531. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Active For Life Rehabilitation, Llc can be contacted via phone (904) 891-1179, or through Angell, Geoffrey Graeme via phone (904) 891-1179.
Contact Information
Primary practice address
4164 Lonicera Loop
Saint Johns FL 32259-4531
Phone: (904) 891-1179
Fax: (904) 212-1202
Website:
Authorized official contact:
Name: Angell, Geoffrey Graeme Physical Therapist (PT)
Phone: (904) 891-1179
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 21700 | Florida |
Profile Details
| NPI number | 1639410384 |
|---|---|
| LBN Legal business name | Active For Life Rehabilitation, Llc |
| DBA Doing business as | |
| Authorized official | Angell, Geoffrey Graeme Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 5th, 2013 |
| Last updated | Jul 21st, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639410384 | NPPES |
| Florida | MEDICAID | 010501000 |
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