Active Life Health of Bellaire PLLC

Organization Active NPI Pain Medicine Physician · Bellaire, TX

NPI 1972395572 · NPPES record last updated May 20, 2025

Key facts

NPI
1972395572
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine Physician 208VP0000X
Legal business name
ACTIVE LIFE HEALTH OF BELLAIRE PLLC
Practice address
6700 West Loop S Ste 225
Bellaire, TX 77401-4104
Phone
(281) 393-4121
NPI assigned
May 20, 2025
Organization subpart
No

Authorized official

Name
John J Rush, MD
Title
Owner of the Entity
Phone
(301) 928-1697

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Active Life Health of Bellaire PLLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208100000X
Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208VP0000X Yes

Addresses

Primary practice location

6700 West Loop S Ste 225
Bellaire, TX 77401-4104

Mailing address

6700 West Loop S Ste 225
Bellaire, TX 77401-4104
Phone (281) 393-4121

Other names

  • Arthritis Knee Pain Centers Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 20, 2025.

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1972395572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP S STE 225",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014104",
            "telephone_number": "281-393-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP S STE 225",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014104",
            "telephone_number": "281-393-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE HEALTH OF BELLAIRE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER OF THE ENTITY",
        "authorized_official_telephone_number": "301-928-1697",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arthritis Knee Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellaire, TX

All providers in Bellaire, TX · Pain Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.