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ACTIVE LIFE PHYSICAL MEDICINE AND PAIN CENTER, PLLC
NPI 1811130016
Physical Medicine & Rehabilitation - Pain Medicine in Surprise, AZ

Active since April 17, 2009CLIA Certified · 2 labs
15547 N REEMS RD BLDG A, SURPRISE, AZ 85374(623) 535-9777(623) 535-9778 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2023, May 3, 2023 (2 updates tracked since 2023).

About Active Life Physical Medicine And Pain Center, Pllc NPPES

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

ACTIVE LIFE PHYSICAL MEDICINE AND PAIN CENTER, PLLC (NPI 1811130016) is a healthcare organization registered as a pain medicine in Surprise, Arizona and active in the NPI registry since April 2009. The organization holds 2 active CLIA laboratory certificates and lists Wendi Lundquist, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1811130016
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameACTIVE LIFE PHYSICAL MEDICINE AND PAIN CENTER, PLLC
Location Address15547 N REEMS RD BLDG ASurprise, AZ 85374-9583
Mailing Address15547 N Reems Rd Bldg ASurprise, AZ 85374-9583 · (623) 535-9777 · Fax (623) 535-9778
Phone(623) 535-9777
Fax(623) 535-9778
Organization SubpartNo
Authorized OfficialWendi LundquistOwner/physician · (623) 535-9777
Enumeration DateApril 17, 2009
Last NPPES UpdateMay 29, 20232 updates tracked since enumeration
NPPES CertifiedMay 29, 2023
✔ NPI 1811130016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in AZ · 005097
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
15547 N REEMS RD BLDG A, Surprise, AZ 85374
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2128471

Active Life Physical Medicine & Pain Center · Surprise, AZ
Active · expires Mar 29, 2027
CLIA Number03D2128471
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorWendi J. Lundquist
Laboratory Phone(623) 535-9777
Laboratory LocationActive Life Physical Medicine & Pain Center15547 N Reems Rd, Bldg A, Surprise, AZ 85374
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1104696

Active Life Physical Medicine & Pain Center · Litchfield Park, AZ
Active · expires Sep 8, 2027
CLIA Number03D1104696
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorWendi J. Lundquist
Laboratory Phone(623) 535-9777
Laboratory LocationActive Life Physical Medicine & Pain Center13575 W Indian School Rd Suite 700, Litchfield Park, AZ 85340
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. WENDI JOY LUNDQUIST D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
15547 N REEMS RD BLDG A
SURPRISE, AZ 85374
Maricopa County (623) 535-9777
ADVANCED ANESTHESIA, PLC
Anesthesiology
15547 N REEMS RD BLDG A
SURPRISE, AZ 85374
Maricopa County (623) 535-9777
INNOVATIVE SURGERY CENTER PLC
Clinic/Center (Ambulatory Surgical)
15547 N REEMS RD BLDG A
SURPRISE, AZ 85374
Maricopa County (623) 535-9777

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 Medicine And Pain Center, PLLC's NPI number?

The NPI number for Active Life Physical Medicine And Pain Center, PLLC is 1811130016. It was assigned to this organization in the NPPES registry on April 17, 2009.

Where is Active Life Physical Medicine And Pain Center, PLLC located?

Active Life Physical Medicine And Pain Center, PLLC is located at 15547 N Reems Rd Bldg A, Surprise, AZ 85374. The listed phone number is (623) 535-9777.

What is Active Life Physical Medicine And Pain Center, PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Active Life Physical Medicine And Pain Center, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Active Life Physical Medicine And Pain Center, PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Active Life Physical Medicine And Pain Center, PLLC 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 Medicine And Pain Center, PLLC was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.