NPIMap

Organization Active NPI

Active Life Physical Therapy

Doing business as Active Life Rehabilitation

  • Physical Therapy Clinic/Center
  • Clifton, NJ
National Provider Identifier
1689289324
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACTIVE LIFE PHYSICAL THERAPY
Doing business as
Active Life Rehabilitation
Practice address
1346 Main Ave Ste 3
Clifton, NJ 07011-2222
Phone
(973) 513-5668
Fax
(973) 710-3321
NPI assigned
Sep 10, 2020
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Belinda Beilman, DPTNPI 1922555143
Title
Owner
Phone
(197) 351-3566

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
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1346 Main Ave Ste 3
Clifton, NJ 07011-2222

Mailing address

1346 Main Ave Ste 3
Clifton, NJ 07011-2222
Phone (973) 513-5668

Other names 1

  • Active Life Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230802000950 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880014893 Receives reassigned benefits from 7 practitioners
Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory

Locations

1346 Main Ave
Ste 3
Clifton, NJ 07011
Phone (201) 370-9809

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1689289324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 MAIN AVE STE 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112222",
            "telephone_number": "973-513-5668",
            "fax_number": "973-710-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 MAIN AVE STE 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112222",
            "telephone_number": "973-513-5668",
            "fax_number": "973-710-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "BEILMAN",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "197-351-3566",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Life Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.