Active Outpatient Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ACTIVE OUTPATIENT THERAPY LLC

Practice address

520 E 12 Mile Rd
Suite - B
Madison Heights, MI 48071-2517

Phone

(248) 952-9052

NPI assigned

Feb 4, 2016

Last updated

Feb 4, 2016By 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. Starvos Toma

Title

President

Phone

(248) 952-9052

Specialties & licenses 1

Addresses

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.

• Lucena Mechael

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1598217044
  NPD (past)

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1023476173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 12 MILE RD",
            "address_2": "SUITE - B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712517",
            "telephone_number": "248-952-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 12 MILE RD",
            "address_2": "SUITE - B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712517",
            "telephone_number": "248-952-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE OUTPATIENT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "TOMA",
        "authorized_official_first_name": "STARVOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-952-9052",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Activate Healthcare - Local 98 Clinic
• Activate Healthcare Michigan
• Active Rehab Center, Inc.
• Affordable Care Consulting, LLC
• Smita Ahluwalia, RPT
• Gulzar Ahmad, P.T.
• Jocelin Al-Raies

• Physical Therapy Clinic/Center in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.