Active Lifestyle Healthcare, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28266 Issued in CA

Legal business name

ACTIVE LIFESTYLE HEALTHCARE, INC.

Practice address

21957 Mikhail St
Santa Clarita, CA 91390-5720

Phone

(661) 803-7384

Fax

(661) 263-6463

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Casino Lesaca, P.T.

Title

Ceo-Owner

Phone

(661) 803-7384

Specialties & licenses 1

Addresses

Practitioners 1

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

• Anthony Leseca, PT

  • Geriatric Physical Therapist
  • Santa Clarita, CA
  • NPI 1174714893
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467593541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21957 MIKHAIL ST",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905720",
            "telephone_number": "661-803-7384",
            "fax_number": "661-263-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21957 MIKHAIL ST",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905720",
            "telephone_number": "661-803-7384",
            "fax_number": "661-263-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFESTYLE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LESACA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CASINO",
        "authorized_official_title_or_position": "CEO-OWNER",
        "authorized_official_telephone_number": "661-803-7384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Acebedo
• Arianna Noelle Acosta
• Luis Gustavo Acosta, DDS.
• Action Family Counseling - SCV Inc
• Action Family Counseling the Ranch
• Georgia Adams, LMT
• Judith S Adams, C-ANP
• Laurel Adams, RD
• Addo-Yirenkyi
• Adebola Adebimpe

• Physical Therapist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Physical Therapist in California

• 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.