ACTIVE LIFE PHYSICAL THERAPY, INC.
NPI 1225330616
Physical Therapist in Los Angeles, CA

Active since November 17, 2010
5065 HOLLYWOOD BLVD, SUITE 201, LOS ANGELES, CA 90027(323) 481-4697 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2025, Aug 10, 2020 (2 updates tracked since 2020).

About Active Life Physical Therapy, Inc. NPPES

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

ACTIVE LIFE PHYSICAL THERAPY, INC. (NPI 1225330616), doing business as Active Physical Therapy & Wellness, is a healthcare organization registered as a physical therapist in Los Angeles, California and active in the NPI registry since November 2010. The organization lists Stephen Jason Wilkins, President, as its authorized official.

NPPES Registry Identity

NPI1225330616
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameACTIVE LIFE PHYSICAL THERAPY, INC.
Location Address5065 HOLLYWOOD BLVD, SUITE 201Los Angeles, CA 90027-6122
Mailing Address5065 Hollywood Blvd Ste 201Los Angeles, CA 90027-6122 · (323) 665-7675
Organization SubpartNo
Authorized OfficialStephen Jason WilkinsPresident · (323) 481-4697
Enumeration DateNovember 17, 2010
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1225330616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5065 HOLLYWOOD BLVD, Los Angeles, CA 90027

Other Names 1

Doing Business AsActive Physical Therapy & Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Active Life, LLC carries, from the Medicare DMEPOS supplier directory.

Active Life, LLC

DMEPOS supplier · Los Angeles, CA

Does not accept Medicare assignment

Active Life, LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20588537
Medicare Participant SinceMay 11, 2004
Supplier Location403 W Adams Blvd Ste 201Los Angeles, CA 90007
Provider TypeCertified Orth/Pros/Pedorthist

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
5065 HOLLYWOOD BLVD, #205
LOS ANGELES, CA 90027
Durable Medical Equipment & Medical Supplies
5065 HOLLYWOOD BLVD, SUITE 104
LOS ANGELES, CA 90027
Durable Medical Equipment & Medical Supplies
5065 HOLLYWOOD BLVD, SUITE 104
LOS ANGELES, CA 90027
Clinic/Center (Sleep Disorder Diagnostic)
5065 HOLLYWOOD BLVD, 104
LOS ANGELES, CA 90027

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, Inc.'s NPI number?

The NPI number for Active Life Physical Therapy, Inc. is 1225330616. It was assigned to this organization in the NPPES registry on November 17, 2010. The provider is doing business as Active Physical Therapy & Wellness.

Where is Active Life Physical Therapy, Inc. located?

Active Life Physical Therapy, Inc. is located at 5065 Hollywood Blvd Suite 201, Los Angeles, CA 90027. The listed phone number is (323) 481-4697.

What is Active Life Physical Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Does Active Life Physical Therapy, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Active Life, LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Active Life Physical Therapy, Inc. was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.