Active Life LLC
NPI 1922577659 · General Practice Physician · Columbia, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Life LLC is a General Practice Physician organization in Columbia, MO (NPI 1922577659).
Provider details
- NPI number
- 1922577659
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Henley, Doctor(573) 356-1876
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- Doing business as
- Active Life Chiropractic
Registry dates
- Enumerated
- 2018-11-26
- Last updated
- 2025-06-19
- Certified
- 2025-06-19
Frequently asked questions
- What is Active Life LLC's NPI number?
- Active Life LLC's National Provider Identifier (NPI) is 1922577659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Life LLC?
- Active Life LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Active Life LLC located?
- Active Life LLC's practice location on file with NPPES is 2804 Forum Blvd Ste 1a, Columbia, MO 65203-6322.
- What is Active Life LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Life LLC is (573) 999-7805.
- Does Active Life LLC accept Medicare?
- Active Life 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 LLC?
- The authorized official listed on Active Life LLC's NPPES record is Samuel Henley, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Life LLC's NPI active?
- Yes — Active Life LLC's NPI (1922577659) is active in the NPPES registry as of the last update on 2025-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.