Active Health Care, PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVE HEALTH CARE, PA

Practice address

6500 Bowden Rd
200
Jacksonville, FL 32216-8070

Phone

(904) 296-0202

NPI assigned

May 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey D Lipp, DC, DACBSPNPI 1295848380

Title

Owner

Phone

(904) 296-0202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Active Chiropractic Medicine and Soft Tissue, P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Active Chiropractic Medicine and Soft Tissue PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Active Health Care, PA

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1467829770
  NPD tax ID

Locations

Practitioners 2

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

• Christopher T Brown, DPT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1609209964
  Medicare reassignment NPD
• Jeffrey David Lipp, DC

  • Sports Physician Chiropractor
  • Jacksonville, FL
  • NPI 1295848380
  NPD Authorized official

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1457797557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BOWDEN RD",
            "address_2": "200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168070",
            "telephone_number": "904-296-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BOWDEN RD",
            "address_2": "200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168070",
            "telephone_number": "904-296-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "LIPP",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-296-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DACBSP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HT208A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Chiropractic Medicine and Soft Tissue, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Taylor Acres
• Action Disability Resources
• Action Disability Resources
• Active Chiropractic Wellness Center, LLC
• Active Corporate Care
• Active Health Care, PA
• Active Spine Care LLC
• Acts of Virtue
• Acumed Medical LTD.
• Acumen Care Services, LLC

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.