OrganizationActive
Active Life Health of Lilburn LLC
NPI 1770252017 · Physical Medicine & Rehabilitation Physician · Lilburn, GA
Provider details
- NPI number
- 1770252017
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Rush, Chairman & Chief Executive Officer(770) 755-1515
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
629 Beaver Ruin Rd Nw Ste B
Lilburn, GA 30047-3437
Phone: (770) 755-1515
Fax: (770) 370-8173
Approximate (ZIP-level) locationGet directions
Mailing address
629 Beaver Ruin Rd Nw Ste B
Lilburn, GA 30047-3437
Other names (DBA / former)
- Doing business as
- Arthritis Knee Pain Centers
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-11-09
- Certified
- 2021-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.