ACTIVE LIFE HEALTH OF COLUMBIA, LLC (NPI# 1104425529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104425529 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE HEALTH OF COLUMBIA, LLC |
| Practice Address |
2000 Center Point Rd Ste 2360 Columbia SC 29210-5826 |
| Practice Telephone | 8032335500 |
| Mailing Telephone | 8032335500 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | JOHN J RUSH (CHAIRMAN & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8032335500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Arthritis Knee Pain Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990121 | Active Life Health of Columbia, LLC | Durable Medical Equipment & Medical Supplies | 2000 Center Point Rd Ste 2360, Columbia, SC 29210-5826 | 2020-10-19 |
| Street Address |
2000 CENTER POINT RD STE 2360 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990121 | Active Life Health of Columbia, LLC | Durable Medical Equipment & Medical Supplies | 2000 Center Point Rd Ste 2360, Columbia, SC 29210-5826 | 2020-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952877615 | Ortho Sport & Spine Physicians Columbia | Physical Medicine & Rehabilitation | 2100 N Beltline Blvd, Columbia, SC 29204-3905 | 2018-10-22 |
| 1811409717 | Ankh Rejuvenation, Inc. | Physical Medicine & Rehabilitation | 8775 Centre Park Dr Ste 423, Columbia, MD 21045-2177 | 2017-11-01 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1750789236 | Precision Rehabilitation, LLC | Physical Medicine & Rehabilitation | 327 Aiken Hunt Circle, Columbia, SC 29223-9407 | 2014-12-15 |
| 1811333602 | Elizabeth Barton | Physical Medicine & Rehabilitation | 1 Hospital Dr # Dc046.00, Columbia, MO 65212-1000 | 2013-05-20 |
| 1265660856 | Mohammad Tariq Agha | Physical Medicine & Rehabilitation | Department of Pm&r, 1 Hospital Drive, Dc046.00, Columbia, MO 65212-0001 | 2009-06-23 |
| 1043462153 | Simge Jale Yonter | Physical Medicine & Rehabilitation | 5464 Wooded Way, Columbia, MD 21044-5722 | 2008-10-21 |
| 1912181009 | Julie Bower | Physical Medicine & Rehabilitation | 115 Blarney Drive, Ste 202, Columbia, SC 29223 | 2007-12-26 |
| 1144421876 | Jesse W Neeley | Physical Medicine & Rehabilitation | 604 Old Highway 63 N, Columbia, MO 65201-4557 | 2007-05-30 |
| 1538377437 | Xin Zhou | Physical Medicine & Rehabilitation | 6439 Garners Ferry Road, Columbia Va Health Care System, Pain Clinic, Columbia, SC 29209 | 2007-05-21 |
| Find all providers in COLUMBIA | ||||
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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.