Organization Active NPI

Active 4 Life, PLLC

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1902392988
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE 4 LIFE, PLLC
Practice address
2141 Siesta Dr
Sarasota, FL 34239-5235
Phone
(941) 312-1591
Fax
(941) 343-3196
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Jennifer Regar, PT
Title
Owner
Phone
(941) 312-1591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2141 Siesta Dr
Sarasota, FL 34239-5235

Mailing address

2141 Siesta Dr
Sarasota, FL 34239-5235
Phone (941) 312-1591

National Provider Directory

National Provider Directory

Locations

2141 Siesta Dr
Sarasota, FL 34239
Phone (941) 312-1591

55 S Palm Ave
Sarasota, FL 34236
Phone (941) 371-2255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1902392988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 SIESTA DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395235",
            "telephone_number": "941-312-1591",
            "fax_number": "941-343-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 SIESTA DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395235",
            "telephone_number": "941-312-1591",
            "fax_number": "941-343-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE 4 LIFE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "REGAR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-312-1591",
        "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": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.