ACTIVE LIFE PROJECT LLC
NPI 1942767975
Chiropractor - Sports Physician in Collingswood, NJ

Active since February 26, 2019
987 HADDON AVE, COLLINGSWOOD, NJ 08108(856) 607-2115 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 26, 2019, Jun 20, 2019, Feb 26, 2019 (3 updates tracked since 2019).

About Active Life Project Llc NPPES

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

ACTIVE LIFE PROJECT LLC (NPI 1942767975) is a healthcare organization registered as a sports physician in Collingswood, New Jersey and active in the NPI registry since February 2019. The organization lists Kelli M Velez, Owner, as its authorized official.

NPPES Registry Identity

NPI1942767975
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameACTIVE LIFE PROJECT
Location Address987 HADDON AVECollingswood, NJ 08108-2048
Mailing Address40 Melrose AveHaddon Township, NJ 08108-2314 · (856) 477-9330
Organization SubpartNo
Authorized OfficialKelli M VelezOwner · (919) 225-2065
Enumeration DateFebruary 26, 2019
Last NPPES UpdateJuly 26, 20193 updates tracked since enumeration
✔ NPI 1942767975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X
987 HADDON AVE, Collingswood, NJ 08108

Other Names 1

Other NameActive Life Project Llc

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

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Active Life Project LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1316336316
987 HADDON AVE
Collingswood, NJ 08108
(856) 477-9330
✔ Accepts MedicareSame address
Chiropractic
NPI 1164801171
289 WHITE HORSE PIKE STE 201
Atco, NJ 08004
(856) 767-8800
✔ Accepts Medicare13 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 Project's NPI number?

The NPI number for Active Life Project is 1942767975. It was assigned to this organization in the NPPES registry on February 26, 2019. The provider is also known as Active Life Project LLC.

Where is Active Life Project located?

Active Life Project is located at 987 Haddon Ave, Collingswood, NJ 08108. The listed phone number is (856) 607-2115.

What is Active Life Project's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Active Life Project enrolled in Medicare?

Yes. Active Life Project is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Life Project?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Active Life Project. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Active Life Project was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.