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ACTIVE LIFE REHAB INC. NPI 1346295805


NPI Information

NPI: 1346295805
Provider Name: ACTIVE LIFE REHAB, INC.
Classification: Physical Therapist - 2251G0304X
Entity Type: Organization

Specialization: Geriatrics

Address:
508 W MISSION AVE
203
ESCONDIDO, CA
ZIP 92025
Phone: (760) 729-5433
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ACTIVE LIFE REHAB, INC. is a geriatrics physical therapist in Escondido, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult. ACTIVE LIFE REHAB, INC. NPI is 1346295805. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

508 W MISSION AVE
203
ESCONDIDO, CA
ZIP 92025-607
Phone: (760) 729-5433
Fax: (877) 464-6473

The provider's authorized official is Robert Pierre Santoni .
The authorized official title is President, Ceo and has the following contact phone number (760) 729-5433.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 11/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251G0304XPhysical TherapistGeriatricsPT13660CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CV993AMEDICARE PINCALIFORNIA
2W18791MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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