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Active Life Health of Lilburn LLC

Physical Medicine & Rehabilitation Physician in Lilburn, 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

1770252017

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Registry record

Entity type Organization (Type 2)
Legal business name Active Life Health of Lilburn LLC
Other name <Unavail>
Practice address 629 Beaver Ruin Rd Nw Ste B, Lilburn, GA, 30047
Phone (770) 755-1515
Fax (770) 370-8173
Enumeration date Sep 9, 2021
Last updated in NPPES Nov 9, 2021

Taxonomy & classification

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

Authorized official

Name John Rush
Title Chairman & Chief Executive Officer
Phone (770) 755-1515

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 2021-11-09. Verify at npiregistry.cms.hhs.gov.
Where is Active Life Health of Lilburn LLC located?
The practice location on file with NPPES is in Lilburn, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-09.