Active Life Therapy Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVE LIFE THERAPY SERVICES

Practice address

4000 Sawyer Rd
Sarasota, FL 34233-1272

Phone

(941) 586-7110

Fax

(941) 921-4820

NPI assigned

Jul 25, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Mahrous, PT

Title

Owner

Phone

(941) 586-7110

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1003162272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 WOODBRIAR DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385654",
            "telephone_number": "941-586-7110",
            "fax_number": "941-921-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SAWYER RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331272",
            "telephone_number": "941-586-7110",
            "fax_number": "941-921-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "MAHROUS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-586-7110",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Ackley, DMD
• Evonna Ackourey, PA-C
• Reynaldo Alba Acol, RPT
• Cristina Maria Acosta Diaz, MD
• Active 4 Life, PLLC
• Active Orthoticsprosthetics
• Active Senior Care Inc. (Town Square University Parkway)
• Acumd Connect Mso LLC
• Acumed Wellness & Acupuncture LLC
• Acupology, LLC

• Physical Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.