Active Life Mobile Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACTIVE LIFE MOBILE CHIROPRACTIC INC

Doing business as

Active Life Mobile Chiropractic Inc

Practice address

801 Main Street
Ouray, CO 81427

Phone

(615) 969-8663

NPI assigned

Jan 14, 2025

Last updated

Apr 28, 2025By 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

Dr. Gil P Kentof, D.CNPI 1114054905

Title

Owner Active Life Mobile Chiropract

Phone

(615) 969-8663

Specialties & licenses 1

Addresses

Other names 1

• ACTIVE LIFE MOBILE CHIROPRACTIC INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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.

• Gil Paul Kentof, D.C.

  • Chiropractor
  • Franklin, TN
  • NPI 1114054905

  CO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1528879145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 865 OURAY, CO 81427",
            "city": "OURAY",
            "state": "CO",
            "postal_code": "81427",
            "telephone_number": "615-969-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MAIN STREET",
            "city": "OURAY",
            "state": "CO",
            "postal_code": "81427",
            "telephone_number": "615-969-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE MOBILE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "KENTOF",
        "authorized_official_first_name": "GIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER ACTIVE LIFE MOBILE CHIROPRACT",
        "authorized_official_telephone_number": "615-969-8663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE LIFE MOBILE CHIROPRACTIC INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhonda Jean Allen, LPCC
• Christina Marie Archer, RN
• Kathryn L Boehnke, MD
• Tammy Clifton, RN
• Jaceson Cole, LCSW

• Chiropractor in Ouray, CO
• Providers in Ouray, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.