Active for Life Rehabilitation, LLC
NPI 1639410384 · Physical Therapist · Saint Johns, FL
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active for Life Rehabilitation, LLC is a Physical Therapist organization in Saint Johns, FL (NPI 1639410384).
Provider details
- NPI number
- 1639410384
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Geoffrey Angell, Manager(904) 891-1179
- License
- PT 21700 (FL)
Specialties & taxonomies
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
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
Registry dates
- Enumerated
- 2013-03-05
- Last updated
- 2014-07-21
Frequently asked questions
- What is Active for Life Rehabilitation, LLC's NPI number?
- Active for Life Rehabilitation, LLC's National Provider Identifier (NPI) is 1639410384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active for Life Rehabilitation, LLC?
- Active for Life Rehabilitation, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Active for Life Rehabilitation, LLC located?
- Active for Life Rehabilitation, LLC's practice location on file with NPPES is 4164 Lonicera Loop, Saint Johns, FL 32259-4531.
- What is Active for Life Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for Active for Life Rehabilitation, LLC is (904) 891-1179.
- Does Active for Life Rehabilitation, LLC accept Medicare?
- Active for Life Rehabilitation, 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 for Life Rehabilitation, LLC?
- The authorized official listed on Active for Life Rehabilitation, LLC's NPPES record is Geoffrey Angell, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active for Life Rehabilitation, LLC's NPI active?
- Yes — Active for Life Rehabilitation, LLC's NPI (1639410384) is active in the NPPES registry as of the last update on 2014-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.