ACTIVE LIFE CHIROPRACTIC AND REHAB, LLC
NPI 1891196739
Chiropractor in Tualatin, OR

Active since September 10, 2014
8365 SW WARM SPRINGS ST, TUALATIN, OR 97062(503) 855-3375(503) 855-3043 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Active Life Chiropractic And Rehab, Llc NPPES

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

ACTIVE LIFE CHIROPRACTIC AND REHAB, LLC (NPI 1891196739) is a healthcare organization registered as a chiropractor in Tualatin, Oregon and active in the NPI registry since September 2014. The organization lists Rachel Kohn, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1891196739
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE LIFE CHIROPRACTIC AND REHAB, LLC
Location Address8365 SW WARM SPRINGS STTualatin, OR 97062-9003
Mailing Address8365 Sw Warm Springs StTualatin, OR 97062-9003 · (503) 855-3375 · Fax (503) 855-3043
Fax(503) 855-3043
Organization SubpartNo
Authorized OfficialRachel KohnDoctor/owner · (503) 855-3375
Enumeration DateSeptember 10, 2014
Last NPPES UpdateMay 19, 2015
✔ NPI 1891196739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 5551
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
8365 SW WARM SPRINGS ST, Tualatin, OR 97062

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

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 Chiropractic And Rehab, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Active Life Chiropractic And Rehab, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1619797495
8365 SW WARM SPRINGS ST
Tualatin, OR 97062
(503) 855-3375
✔ Accepts MedicareSame address
Chiropractic
NPI 1619396256
8365 SW WARM SPRINGS ST
Tualatin, OR 97062
(503) 855-3375
✔ Accepts MedicareSame address
Chiropractic
NPI 1770372559
4410 NE FREMONT ST
Portland, OR 97213
(503) 249-0114
✔ Accepts Medicare14 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 Chiropractic And Rehab, LLC's NPI number?

The NPI number for Active Life Chiropractic And Rehab, LLC is 1891196739. It was assigned to this organization in the NPPES registry on September 10, 2014.

Where is Active Life Chiropractic And Rehab, LLC located?

Active Life Chiropractic And Rehab, LLC is located at 8365 SW Warm Springs St, Tualatin, OR 97062. The listed phone number is (503) 855-3375.

What is Active Life Chiropractic And Rehab, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Active Life Chiropractic And Rehab, LLC enrolled in Medicare?

Yes. Active Life Chiropractic And Rehab, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Life Chiropractic And Rehab, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Active Life Chiropractic And Rehab, LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Active Life Chiropractic And Rehab, LLC accept?

Health plans from Moda Health Plan, Inc. list Active Life Chiropractic And Rehab, LLC 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 Chiropractic And Rehab, LLC was last updated on May 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.