OrganizationActive
Active Life Medical, PLLC
NPI 1417577479 · Physical Medicine & Rehabilitation Physician · White Plains, NY
Provider details
- NPI number
- 1417577479
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Rush, Chairman & Chief Executive Officer(301) 928-1697
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
311 North St Ste 406
White Plains, NY 10605-2217
Phone: (914) 785-7752
Fax: (914) 363-0966
Approximate (ZIP-level) locationGet directions
Mailing address
311 North St Ste 406
White Plains, NY 10605-2217
Other names (DBA / former)
- Doing business as
- Arthritis Knee Pain Centers
Registry dates
- Enumerated
- 2020-04-20
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.