Active Therapeutics Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21232 Issued in FL

Legal business name

ACTIVE THERAPEUTICS INC

Practice address

6802 Moonlit Dr
Delray Beach, FL 33446-1630

Phone

(646) 220-5040

Fax

(561) 204-5928

NPI assigned

Aug 31, 2006

Last updated

Aug 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alkis Robert Alexiadis, P.T.NPI 1902908890

Title

President

Phone

(646) 220-5040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alkis Robert Alexiadis, P.T.

  • Physical Therapist
  • Wellington, FL
  • NPI 1902908890
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1013029073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 MOONLIT DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461630",
            "telephone_number": "646-220-5040",
            "fax_number": "561-204-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 MOONLIT DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461630",
            "telephone_number": "646-220-5040",
            "fax_number": "561-204-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE THERAPEUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "ALEXIADIS",
        "authorized_official_first_name": "ALKIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-220-5040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "21232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Acker, MS, MFT
• Rona Susan Ackerman, M.A.
• Dayanis Acosta Rodriguez
• Jennifer Acosta
• Action Physical Therapy, LLC
• Acupuncture Associates of Delray Beach, Inc.
• Acusportstherapy Inc.
• Acute Behavioral Health of Florida, LLC
• Nimet Adam, AU.D
• Joshua Ross Adametz

• Physical Therapist in Delray Beach, FL
• Providers in Delray Beach, 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 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.