Active Living Medical Center

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ACTIVE LIVING MEDICAL CENTER

Practice address

8257 Narcoossee Park Dr Ste 516
Orlando, FL 32822-5545

Phone

(407) 384-4904

NPI assigned

Jun 22, 2021

Last updated

Jun 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jodi L JakielNPI 1225264500

Title

Owner

Phone

(407) 384-4904

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jodi Lynn Jakiel, D.C

  • Chiropractor
  • Orlando, FL
  • NPI 1225264500
  Authorized official Same address or phone
• Rocky Justice II, D.C.

  • Chiropractor
  • Orange City, FL
  • NPI 1811449119
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1346819448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8257 NARCOOSSEE PARK DR STE 516",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225545",
            "telephone_number": "407-616-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8257 NARCOOSSEE PARK DR STE 516",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225545",
            "telephone_number": "407-384-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIVING MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "JAKIEL",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-384-4904",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Acosta, PSY.D
• Veronica Lynn Acosta, M.D.
• Action Chiropractic & Assoc., LLC
• Active Body Rehab and Chiropractic LLC
• Active DL Services Inc.
• Activemd LLC
• Acts of Kindness Inc
• Acu at Orlando LLC
• William Camilo Acuna
• Acupuncture and Herbal Medicine Inc. (Acupuncture of Orlando)

• Physical Medicine & Rehabilitation Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.