ACTIVE LIFE, LLC
NPI 1083284590
Prosthetic/Orthotic Supplier in Rancho Mirage, CA

Q: What is Active Life, LLC's NPI number?

The NPI number for Active Life, LLC is 1083284590. It was assigned to this organization in the NPPES registry on June 28, 2021.

Q: What is Active Life, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Active Life, LLC was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since June 28, 2021

72780 COUNTRY CLUB DR STE 300, RANCHO MIRAGE, CA 92270(909) 748-0168(909) 748-5881 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Active Life, Llc NPPES

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

ACTIVE LIFE, LLC (NPI 1083284590) is a healthcare organization registered as a prosthetic/orthotic supplier in Rancho Mirage, California and active in the NPI registry since June 2021. The organization lists Spencer Arden Doty, President, as its authorized official.

NPPES Registry Identity

NPI1083284590

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameACTIVE LIFE, LLC

Location Address72780 COUNTRY CLUB DR STE 300Rancho Mirage, CA 92270-4150

Mailing Address1577 E Chevy Chase Dr Ste 210Glendale, CA 91206-4741 · (818) 495-4610 · Fax (818) 484-2812

Phone(909) 748-0168

Fax(909) 748-5881

Organization SubpartNo

Authorized OfficialSpencer Arden DotyPresident · (858) 616-7724

Enumeration DateJune 28, 2021

NPPES CertifiedJune 28, 2021

✔ NPI 1083284590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

72780 COUNTRY CLUB DR STE 300, Rancho Mirage, CA 92270

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Other Identifiers 1

MedicaidXC0009601CA

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, LLC's NPI number?

The NPI number for Active Life, LLC is 1083284590. It was assigned to this organization in the NPPES registry on June 28, 2021.

Where is Active Life, LLC located?

Active Life, LLC is located at 72780 Country Club Dr Ste 300, Rancho Mirage, CA 92270. The listed phone number is (909) 748-0168.

What is Active Life, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Active Life, LLC was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.