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Active Life Physical Therapy

Clinic/Center - Physical Therapy

JEREMY KENNEDY
NPI: 1104630144Madison, Mississippi, 39110(985) 630-7912
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About Active Life Physical Therapy

Active Life Physical Therapy is a healthcare organization providing Clinic/Center - Physical Therapy services, with specialized expertise in Physical Therapy, registered under National Provider Identifier (NPI) number 1104630144.

The authorized official for Active Life Physical Therapy is JEREMY KENNEDY. The organization is headquartered at 106 CAMDEN TRL, Madison, Mississippi 39110. The main office can be reached at (985) 630-7912.

Active Life Physical Therapy has been NPI-registered since 2025.

Locations & Contact

Primary Location

Address
106 CAMDEN TRL
City
Madison
State
Mississippi
ZIP
39110-6601
Phone
(985) 630-7912
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Authorized Official

Name
JEREMY KENNEDY

Mailing Address

Address
106 CAMDEN TRL
City
MADISON
State
MS
ZIP
391106601

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Clinic/Center - Physical Therapy
Classification
Clinic/Center
Specialization
Physical Therapy
Taxonomy Code
261QP2000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Active Life Physical Therapy's NPI number?
Active Life Physical Therapy's National Provider Identifier (NPI) is 1104630144. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Active Life Physical Therapy specialize in?
Active Life Physical Therapy specializes in Clinic/Center - Physical Therapy.
Where is Active Life Physical Therapy located?
Active Life Physical Therapy practices at 106 CAMDEN TRL, Madison, Mississippi 39110. You can reach them by phone at (985) 630-7912.
Does Active Life Physical Therapy accept Medicare?
Based on available data, Active Life Physical Therapy is not currently enrolled in the Medicare program.
Does Active Life Physical Therapy offer telehealth or virtual visits?
Active Life Physical Therapy does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Active Life Physical Therapy holds NPI 1104630144, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.