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Active Life Health of Marietta LLC

Physical Medicine & Rehabilitation Physician in Marietta, GA · enumerated 2021 · authorized official John Rush, Chairman & Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174292411

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Registry record

Entity type Organization (Type 2)
Legal business name Active Life Health of Marietta LLC
Other name <Unavail>
Practice address 540 Powder Springs St Ste 29, Marietta, GA, 30064
Phone (770) 728-8446
Fax (770) 370-8172
Enumeration date Sep 9, 2021
Last updated in NPPES Dec 13, 2021

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name John Rush
Title Chairman & Chief Executive Officer
Phone (770) 728-8446

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Active Life Health of Marietta LLC?
NPPES lists John Rush (Chairman & Chief Executive Officer) as the authorized official for this organization.
What is the NPI number for Active Life Health of Marietta LLC?
The NPI for Active Life Health of Marietta LLC is 1174292411, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-13.