Active Life Project

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

ACTIVE LIFE PROJECT

Practice address

987 Haddon Ave
Collingswood, NJ 08108-2048

Phone

(856) 607-2115

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kelli M Velez, DCNPI 1316336316

Title

Owner

Phone

(919) 225-2065

Specialties & licenses 3

Addresses

Other names 1

• Active Life Project LLC Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Kelli McLaughlin Velez, D.C.

  • Sports Physician Chiropractor
  • Collingswood, NJ
  • NPI 1316336316
  Medicare reassignment Care Compare group NPD Authorized official
• David Velez

  • Chiropractor
  • Atco, NJ
  • NPI 1164801171
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1942767975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MELROSE AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082314",
            "telephone_number": "856-477-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082048",
            "telephone_number": "856-607-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-225-2065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Life Project LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Najima Aberdeen, CNA
• Jessica Abiuso, LPC
• Michael Scot Ailes, M.S.W
• Allison Allen, CERTIFICATE
• Ars Counseling LLC
• Author Health Professionals of New Jersey, PC
• Christie F Babilonia, MSW, LCSW

• Sports Physician Chiropractor in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.