OrganizationActive
Active Life Health of Marietta LLC
NPI 1174292411 · Physical Medicine & Rehabilitation Physician · Marietta, GA
Provider details
- NPI number
- 1174292411
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Rush, Chairman & Chief Executive Officer(770) 728-8446
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
540 Powder Springs St Ste 29
Marietta, GA 30064-3549
Phone: (770) 728-8446
Fax: (770) 370-8172
Street-level locationGet directions
Mailing address
540 Powder Springs St Ste 29
Marietta, GA 30064-3549
Other names (DBA / former)
- Doing business as
- Arthritis Knee Pain Centers
- Doing business as
- Arthritis Knee Pain Centers
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-12-13
- Certified
- 2021-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.