Active NPI
Active Corporate Care
- Rehabilitation Clinic/Center
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- CH9014
- Legal business name
- ACTIVE CORPORATE CARE
- Practice address
- 6817 Southpoint Pkwy
Ste 303
Jacksonville, FL 32216-6282 - Phone
- (904) 296-0202
- NPI assigned
- Nov 5, 2007
- Last updated
- Nov 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey David Lipp, DC
- Title
- President
- Phone
- (904) 296-0202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | CH9014 | FL | Primary |
Addresses
Primary practice location
6817 Southpoint Pkwy
Ste 303
Jacksonville, FL 32216-6282
Mailing address
6817 Southpoint Pkwy
Ste 303
Jacksonville, FL 32216-6282
National Provider Directory
National Provider DirectoryLocations
6817 Southpoint Pkwy
Ste 303
Jacksonville, FL 32216
Phone (904) 296-0202
Practitioners & affiliated clinicians
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1700066016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6817 SOUTHPOINT PKWY",
"address_2": "STE 303",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6817 SOUTHPOINT PKWY",
"address_2": "STE 303",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322166282",
"telephone_number": "904-296-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE CORPORATE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-05",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "LIPP",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-296-0202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "FL",
"license": "CH9014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.