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 is a Physical Therapist 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.

See every abbreviation used in this directory →

Practice location Address checks out

4164 Lonicera Loop
Saint Johns, FL 32259-4531
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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