NPIMap

Organization Active NPI

Active Life Rehab, Inc.

  • Geriatric Physical Therapist
  • Escondido, CA
National Provider Identifier
1346295805
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT13660 Issued in CA
Legal business name
ACTIVE LIFE REHAB, INC.
Practice address
508 W Mission Ave
203
Escondido, CA 92025-1607
Phone
(760) 729-5433
Fax
(877) 464-6473
NPI assigned
May 23, 2006
Last updated
Nov 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Mr. Robert Pierre Santoni, RPTNPI 1518185271
Title
President, Ceo
Phone
(760) 729-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X PT13660 CA Primary

Addresses

Primary practice location

508 W Mission Ave
203
Escondido, CA 92025-1607

Mailing address

508 W Mission Ave
203
Escondido, CA 92025-1607
Phone (760) 729-5433

National Provider Directory

National Provider Directory

Locations

5050 Avenida Encinas
Ste 2
Carlsbad, CA 92008

5050 Avenida Encinas
Ste 250
Carlsbad, CA 92008
Phone (760) 729-5433

4119 Wayside Ln
#15
Carmichael, CA 95608
Phone (866) 963-4433

1780 E Baristo Rd
Palm Springs, CA 92262
Phone (760) 322-3444

10849 Arlington Ave
Riverside, CA 92505
Phone (951) 637-8844

6600 Jurupa Ave
#2146
Riverside, CA 92504
Phone (866) 963-4433

1400 Coleman Ave
Ste F23
Santa Clara, CA 95050
Phone (408) 418-6638

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1346295805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W MISSION AVE",
            "address_2": "203",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251607",
            "telephone_number": "760-729-5433",
            "fax_number": "877-464-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W MISSION AVE",
            "address_2": "203",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251607",
            "telephone_number": "760-729-5433",
            "fax_number": "877-464-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "SANTONI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PIERRE",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "760-729-5433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT13660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.