Active Life Health of Pineville PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ACTIVE LIFE HEALTH OF PINEVILLE PLLC

Doing business as

Arthritis Knee Pain Centers

Practice address

10035 Park Cedar Dr Ste 300
Charlotte, NC 28210-8910

Phone

(704) 272-3828

Fax

(704) 886-1884

NPI assigned

Mar 5, 2021

Last updated

Mar 5, 2021By 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

John J Rush, MD

Title

Chairman & Chief Executive Officer

Phone

(704) 272-3828

Specialties & licenses 1

Addresses

Other names 1

• ARTHRITIS KNEE PAIN CENTERS Doing business as

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1710572359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 PARK CEDAR DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108910",
            "telephone_number": "704-272-3828",
            "fax_number": "704-886-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 PARK CEDAR DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108910",
            "telephone_number": "704-272-3828",
            "fax_number": "704-886-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE HEALTH OF PINEVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "704-272-3828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARTHRITIS KNEE PAIN CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Active Healthcare, Inc.
• Active Life Chiropractic, PLLC
• Active Life Health of Charlotte PLLC (Arthritis Knee Pain Centers)
• Active Life Health of Charlotte PLLC (Arthritis Knee Pain Centers)
• Active Life Health of Pineville PLLC (Arthritis Knee Pain Centers)
• Activelink Services, LLC
• Acugift LLC
• Acumen of North Carolina, LLC
• Adam Danze, DDS, Ms, PLLC (Providence Pediatric Dentistry & Orthodontics)
• Justin Mark Adam

• Physical Medicine & Rehabilitation Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.