Organization Active NPI

Lifelong Mobility, Inc.

Doing business as Active Physical Therapy

  • Physical Therapy Clinic/Center
  • Santa Barbara, CA
National Provider Identifier
1073542064
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LIFELONG MOBILITY, INC.
Doing business as
Active Physical Therapy
Practice address
3040 State St Ste F
Santa Barbara, CA 93105-3358
Phone
(805) 687-4464
Fax
(805) 687-4496
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Anthony Mocny, P. T.
Title
President
Phone
(805) 687-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CA Primary

Addresses

Primary practice location

3040 State St Ste F
Santa Barbara, CA 93105-3358

Mailing address

3040 State St Ste F
Santa Barbara, CA 93105-3358
Phone (805) 687-4464

Other names 1

  • Active Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3040 State St
Ste F
Santa Barbara, CA 93105
Phone (805) 455-6988

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073542064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 STATE ST STE F",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053358",
            "telephone_number": "805-687-4464",
            "fax_number": "805-687-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 STATE ST STE F",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053358",
            "telephone_number": "805-687-4464",
            "fax_number": "805-687-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOCNY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-687-4464",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.