Active Life Physical Therapy & Rehab Inc
NPI 1073016614 · Physical Therapy Clinic/Center · Southfield, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Life Physical Therapy & Rehab Inc is a Physical Therapy Clinic/Center organization in Southfield, MI (NPI 1073016614).
Provider details
- NPI number
- 1073016614
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Raj Nijjar, Ceo(734) 637-7540
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 27320 Debiasi DrBrownstown, MI 48174-8511Phone: (734) 637-7540
Registry dates
- Enumerated
- 2018-03-09
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is Active Life Physical Therapy & Rehab Inc's NPI number?
- Active Life Physical Therapy & Rehab Inc's National Provider Identifier (NPI) is 1073016614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Life Physical Therapy & Rehab Inc?
- Active Life Physical Therapy & Rehab Inc is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Active Life Physical Therapy & Rehab Inc located?
- Active Life Physical Therapy & Rehab Inc's practice location on file with NPPES is 17515 W 9 Mile Rd Ste 140, Southfield, MI 48075-4411.
- What is Active Life Physical Therapy & Rehab Inc's phone number?
- The practice phone number listed in the NPPES registry for Active Life Physical Therapy & Rehab Inc is (248) 281-4097.
- Does Active Life Physical Therapy & Rehab Inc accept Medicare?
- Active Life Physical Therapy & Rehab Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Active Life Physical Therapy & Rehab Inc?
- The authorized official listed on Active Life Physical Therapy & Rehab Inc's NPPES record is Raj Nijjar, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Life Physical Therapy & Rehab Inc's NPI active?
- Yes — Active Life Physical Therapy & Rehab Inc's NPI (1073016614) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.