Activelife Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVELIFE THERAPY LLC

Practice address

34121 U.S. 45 Grayslake, Il 60030, USA
Ste 10
Gages Lake, IL 60030

Phone

(224) 499-4494

NPI assigned

Mar 4, 2025

Organization subpart

No

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

Authorized official

Name

Ronald Samaniego, PT

Title

Owner

Phone

(224) 499-4494

Specialties & licenses 1

Addresses

Other names 1

• Activelife Therapy Other name

Locations

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1841098050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W GREENWOOD AVE APT 1D",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600875049",
            "telephone_number": "224-499-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34121 U.S. 45 GRAYSLAKE, IL 60030, USA",
            "address_2": "STE 10",
            "city": "GAGES LAKE",
            "state": "IL",
            "postal_code": "60030",
            "telephone_number": "224-499-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVELIFE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "SAMANIEGO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-499-4494",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Activelife Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Courtney Bestler
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• Payton Rianne Estep, M.S. CCC-SLP
• Ann Gear
• Sarah Hilton

• Physical Therapist in Gages Lake, IL
• Providers in Gages Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.