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

Active Life Physical Medicine and Pain Center, PLLC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1811130016

Active Life Physical Medicine and Pain Center, PLLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15547 N Reems Rd Bldg A
Surprise, AZ 85374-9583
Phone: (623) 535-9777
Fax: (623) 535-9778
Show map & directions

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

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 005097 (AZ)

Record details

NPI number1811130016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendi Lundquist — Owner/Physician · (623) 535-9777
NPI enumeratedApril 17, 2009
Last updated in NPPESMay 29, 2023
Certification dateMay 29, 2023
Mailing address15547 N Reems Rd Bldg A, Surprise, AZ 85374-9583

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