ACTIVE LIFE PHYSICAL THERAPY & REHAB INC
NPI 1073016614
Clinic/Center - Physical Therapy in Southfield, MI

Active since March 09, 2018
17515 W 9 MILE RD STE 140, SOUTHFIELD, MI 48075(248) 281-4097 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Active Life Physical Therapy & Rehab Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE LIFE PHYSICAL THERAPY & REHAB INC (NPI 1073016614) is a healthcare organization registered as a physical therapy in Southfield, Michigan and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Brownstown and lists Raj Nijjar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073016614
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameACTIVE LIFE PHYSICAL THERAPY & REHAB INC
Location Address17515 W 9 MILE RD STE 140Southfield, MI 48075-4411
Mailing Address27320 Debiasi DrBrownstown, MI 48174-8511
Organization SubpartNo
Authorized OfficialRaj NijjarCeo · (734) 637-7540
Enumeration DateMarch 9, 2018
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1073016614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in MI · 5501014085
Definition
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.
Also ListedPhysical TherapistTaxonomy 225100000X
17515 W 9 MILE RD STE 140, Southfield, MI 48075

Secondary Practice Location 1

Location 127320 DeBiasi DrBrownstown, MI 48174-8511 · Phone (734) 637-7540

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Life Physical Therapy & Rehab Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Active Life Physical Therapy & Rehab Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1497120661
12702 W 9 MILE RD
Oak Park, MI 48237
(248) 690-6685
✔ Accepts Medicare3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Life Physical Therapy & Rehab Inc's NPI number?

The NPI number for Active Life Physical Therapy & Rehab Inc is 1073016614. It was assigned to this organization in the NPPES registry on March 9, 2018.

Where is Active Life Physical Therapy & Rehab Inc located?

Active Life Physical Therapy & Rehab Inc is located at 17515 W 9 Mile Rd Ste 140, Southfield, MI 48075. The listed phone number is (248) 281-4097.

What is Active Life Physical Therapy & Rehab Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Active Life Physical Therapy & Rehab Inc enrolled in Medicare?

Yes. Active Life Physical Therapy & Rehab Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Life Physical Therapy & Rehab Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Active Life Physical Therapy & Rehab Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Active Life Physical Therapy & Rehab Inc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Active Life Physical Therapy & Rehab Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Active Life Physical Therapy & Rehab Inc was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.