Active Life Health of Lilburn LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ACTIVE LIFE HEALTH OF LILBURN LLC

Doing business as

Arthritis Knee Pain Centers

Practice address

629 Beaver Ruin Rd NW Ste B
Lilburn, GA 30047-3437

Phone

(770) 755-1515

Fax

(770) 370-8173

NPI assigned

Sep 9, 2021

Last updated

Nov 9, 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

(770) 755-1515

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": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1770252017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 BEAVER RUIN RD NW STE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473437",
            "telephone_number": "770-755-1515",
            "fax_number": "770-370-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 BEAVER RUIN RD NW STE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473437",
            "telephone_number": "770-755-1515",
            "fax_number": "770-370-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE HEALTH OF LILBURN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "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": "770-755-1515",
        "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"
        }
    ]
}

• Aaron J. Hupman,M.D.,P.C.
• Belema Abere, DMD
• Absolute Silvercare Home Health LLC
• Antonio Acosta
• Active Life Health of Lilburn LLC (Arthritis Knee Pain Centers)
• Deborah Mae Adams, MA, CPC, PCCT
• Afua Dufie Addo Vanderpuije, MD
• Advance Family Dental Care Inc
• Advanced Center of Cosmetic Dentistry & Implantology PC
• Affordable Dental Care , LLC

• Physical Medicine & Rehabilitation Physician in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.