Organization Active NPI

Active Life, Inc.

  • Physical Therapist
  • Strasburg, VA
National Provider Identifier
1992846463
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE LIFE, INC.
Practice address
113-4 Founders Way
Strasburg, VA 22657-3769
Phone
(540) 364-3411
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Lon E Nebiolini
Title
Ceo
Phone
(540) 364-3411

Specialties & licenses 1

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

Addresses

Primary practice location

113-4 Founders Way
Strasburg, VA 22657-3769

Mailing address

10426 Cobbler Valley LN
Delaplane, VA 20144-2020
Phone (540) 364-3411

National Provider Directory

National Provider Directory

Locations

113-4 Founders Way
Strasburg, VA 22657
Phone (540) 364-3411

Practitioners & affiliated clinicians

Practitioners 3

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1992846463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 COBBLER VALLEY LN",
            "city": "DELAPLANE",
            "state": "VA",
            "postal_code": "201442020",
            "telephone_number": "540-364-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113-4 FOUNDERS WAY",
            "city": "STRASBURG",
            "state": "VA",
            "postal_code": "226573769",
            "telephone_number": "540-364-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "NEBIOLINI",
        "authorized_official_first_name": "LON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-364-3411"
    },
    "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 Strasburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.