Physical Therapist
ACTIVE LIFE SPINE & JOINT CLINIC LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1083187553 · enumerated 2019-01-08 · record updated 2019-01-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: RONALD SAMANIEGO PT, Owner · (224) 425-0548
Addresses and phones
- Mailing address 3600 E STATE ST STE 222, ROCKFORD, IL, 61108-1956 Google Maps Apple Maps OpenStreetMap
- Practice location 3600 E STATE ST STE 222, ROCKFORD, IL, 61108-1956 (224) 425-0548 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary
In this directory
Locations and evidence
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Practice location
ROCKFORD, IL, 611081956
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.