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Active for Life Rehabilitation, LLC

Physical Therapist in Saint Johns, FL · enumerated 2013 · authorized official Geoffrey Angell, Manager.

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

National Provider Identifier

1639410384

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Registry record

Entity type Organization (Type 2)
Legal business name Active for Life Rehabilitation, LLC
Practice address 4164 Lonicera Loop, Saint Johns, FL, 32259
Phone (904) 891-1179
Fax (904) 212-1202
Enumeration date Mar 5, 2013
Last updated in NPPES Jul 21, 2014

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT 21700 (FL) Primary

Authorized official

Name Geoffrey Angell
Title Manager
Phone (904) 891-1179

Other identifiers

Identifier Type State Issuer
010501000 Medicaid FL -

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

What is the NPI number for Active for Life Rehabilitation, LLC?
The NPI for Active for Life Rehabilitation, LLC is 1639410384, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Active for Life Rehabilitation, LLC?
NPPES lists Geoffrey Angell (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-21.