ACTIVE LIFE CHIROPRACTIC CLINIC LLC
ACTIVE LIFE CHIROPRACTIC CLINIC LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1174877955, based in Yakima, WA. The organization lists 3 taxonomy classifications, with Sports Physician Chiropractor recorded as primary.
Getting there
The practice address on file is 1015 S 40TH AVE STE 21, Yakima, WA 98908. 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 |
|---|---|---|
| CH60309681 | WA | Sports Physician Chiropractor primary |
| CH60309681 | WA | Pediatric Chiropractor |
| CH60309678 | WA | Sports Physician Chiropractor |
This provider holds licence CH60309681 issued in WA. 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
- 7810149135
- Enrollment ID
- O20121213000492
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 Sports Physician covers
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. NUCC Health Care Provider Taxonomy, code 111NS0005X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 111NS0005X | Sports Physician Chiropractor Sports Physician | CH60309681 | WA | primary |
| 111NP0017X | Pediatric Chiropractor Pediatric Chiropractor | CH60309681 | WA | |
| 225700000X | Massage Therapist | — | — | |
| 111NS0005X | Sports Physician Chiropractor Sports Physician | CH60309678 | WA |
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 | 1174877955 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 1, 2012 |
| Last updated | Mar 31, 2026 |
| Status | Active |
| Practice address |
1015 S 40TH AVE STE 21 Yakima, WA 98908 (509) 965-9820 Fax (509) 965-9822 |
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 | 1 | 7 | 4 | 8 | 7 | 7 | 9 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 5 | 4 | 7 | 7 | 5 | 9 | 1 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
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.