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Active Life Medical, Pllc

Physical Medicine & Rehabilitation Physician in White Plains, NY · enumerated 2020 · authorized official John Rush, Chairman & Chief Executive Officer.

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

National Provider Identifier

1417577479

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Registry record

Entity type Organization (Type 2)

Legal business name Active Life Medical, Pllc

Practice address 311 North St Ste 406, White Plains, NY, 10605

Phone (914) 785-7752

Fax (914) 363-0966

Enumeration date Apr 20, 2020

Last updated in NPPES Apr 20, 2020

Taxonomy & classification

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

Authorized official

Name John Rush

Title Chairman & Chief Executive Officer

Phone (301) 928-1697

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-04-20. Verify at npiregistry.cms.hhs.gov.

Where is Active Life Medical, Pllc located?

The practice location on file with NPPES is in White Plains, NY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-20.