ACTIVE LIFE PHYSICAL THERAPY & REHAB INC
ACTIVE LIFE PHYSICAL THERAPY & REHAB INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1073016614, based in Southfield, MI. The organization lists 2 taxonomy classifications, with Physical Therapy Clinic/Center recorded as primary.
Getting there
The practice address on file is 17515 W 9 MILE RD STE 140, Southfield, MI 48075. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5501014085 | MI | Physical Therapy Clinic/Center primary |
This provider holds licence 5501014085 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6800323023
- Enrollment ID
- O20241227002958
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Physical Therapy covers
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. NUCC Health Care Provider Taxonomy, code 261QP2000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QP2000X | Physical Therapy Clinic/Center Physical Therapy | 5501014085 | MI | primary |
| 225100000X | Physical Therapist | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1073016614 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 9, 2018 |
| Last updated | Jan 15, 2025 |
| Status | Active |
| Practice address |
17515 W 9 MILE RD STE 140 Southfield, MI 48075 (248) 281-4097 |
| Mailing address |
27320 DEBIASI DR Brownstown, MI 48174 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 0 | 1 | 6 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 0 | 1 | 3 | 6 | 2 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.