ACTIVE LIFE SPINE & JOINT CLINIC LLC (NPI# 1083187553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083187553 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE SPINE & JOINT CLINIC LLC |
| Practice Address |
3600 E State St Ste 222 Rockford IL 61108-1956 |
| Practice Telephone | 2244250548 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | RONALD SAMANIEGO (OWNER) |
| Authorized Official Telephone | 2244250548 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3600 E STATE ST STE 222 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180089 | Sarah Prestegard | Physical Therapist | 6050 Main St Apt 101, Rockford, MN 55373-4537 | 2020-06-30 |
| 1376168039 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 526 E Jefferson St # 110, Rockford, IL 61107-4076 | 2020-06-09 |
| 1669000287 | Andrzej Zasadny | Physical Therapist | 6072 Brynwood Dr Ste 102, Rockford, IL 61114-5829 | 2020-03-30 |
| 1275096547 | Karen Kaye Martinez Cacanindin | Physical Therapist | 5501 Nichols Dr, Rockford, IL 61108-2332 | 2019-04-12 |
| 1346706223 | West Michigan Community-based Rehabilitation LLC | Physical Therapist | 6917 Rex Dr, Rockford, MI 49341-7813 | 2019-02-15 |
| 1013493170 | Melissa Weber | Physical Therapist | 6050 Northland Dr Ne Ste 210, Rockford, MI 49341-9257 | 2018-07-12 |
| 1427541176 | Kelly Frake | Physical Therapist | 209 9th St Ste 101, Rockford, IL 61104-2235 | 2018-06-07 |
| 1073037560 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 4000 Saint Francis Dr, Rockford, IL 61103-1661 | 2017-07-27 |
| 1417305020 | Jacob Gartner | Physical Therapist | 2902 Mcfarland Rd Ste 200, Rockford, IL 61107-6801 | 2016-05-25 |
| 1861869026 | Adam Smith | Physical Therapist | 2885 10 Mile Rd Ne, Rockford, MI 49341-9177 | 2015-08-24 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.