Active Life Chiropractic Clinic LLC
NPI 1174877955 · Sports Physician Chiropractor · Yakima, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Life Chiropractic Clinic LLC is a Sports Physician Chiropractor organization in Yakima, WA (NPI 1174877955).
Provider details
- NPI number
- 1174877955
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kristina Coppock, Owner/Doctor/Office Manager(509) 965-9820
- License
- CH60309681 (WA)
Specialties & taxonomies
Chiropractic Providers
Chiropractic Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Other names (DBA / former)
- Doing business as
- Active Life Chiropractic
Registry dates
- Enumerated
- 2012-11-01
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Frequently asked questions
- What is Active Life Chiropractic Clinic LLC's NPI number?
- Active Life Chiropractic Clinic LLC's National Provider Identifier (NPI) is 1174877955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Life Chiropractic Clinic LLC?
- Active Life Chiropractic Clinic LLC is classified in the NPPES registry as Sports Physician Chiropractor (Chiropractic Providers).
- Where is Active Life Chiropractic Clinic LLC located?
- Active Life Chiropractic Clinic LLC's practice location on file with NPPES is 1015 S 40th Ave Ste 21, Yakima, WA 98908-3868.
- What is Active Life Chiropractic Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Life Chiropractic Clinic LLC is (509) 965-9820.
- Does Active Life Chiropractic Clinic LLC accept Medicare?
- Active Life Chiropractic Clinic LLC 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 Chiropractic Clinic LLC?
- The authorized official listed on Active Life Chiropractic Clinic LLC's NPPES record is Kristina Coppock, Owner/Doctor/Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Life Chiropractic Clinic LLC's NPI active?
- Yes — Active Life Chiropractic Clinic LLC's NPI (1174877955) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.