Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active for Life Rehabilitation, LLC

Organization Physical Therapist · NPI 1639410384

Active for Life Rehabilitation, LLC provides Physical Therapist services in Saint Johns, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4164 Lonicera Loop
Saint Johns, FL 32259-4531 Not confirmed with CMS for 12 years — call before visiting
Phone: (904) 891-1179
Fax: (904) 212-1202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 21700 (FL)

Record details

NPI number1639410384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Angell — Manager · (904) 891-1179
NPI enumeratedMarch 5, 2013
Last updated in NPPESJuly 21, 2014
Mailing address4164 Lonicera Loop, Saint Johns, FL 32259-4531

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