Organization Active NPI

Activ8 Physical Therapy and Performance LLC

  • Physical Therapist
  • Ashland, OH
National Provider Identifier
1023728946
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIV8 PHYSICAL THERAPY AND PERFORMANCE LLC
Practice address
114 E 2ND St
Ashland, OH 44805-2304
Phone
(419) 565-8916
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Mrs. Courtney Erin Altman, DPTNPI 1043611122
Title
Ceo Physical Therapist
Phone
(419) 565-8916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

114 E 2ND St
Ashland, OH 44805-2304

Mailing address

1406 Township Road 1353
Ashland, OH 44805-9364
Phone (419) 565-8916

Other names 1

  • Activ8 Physical Therapy and Performance Doing business as

National Provider Directory

National Provider Directory

Locations

114 E 2nd St
Ashland, OH 44805
Phone (419) 565-8916

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1023728946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 TOWNSHIP ROAD 1353",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448059364",
            "telephone_number": "419-565-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 2ND ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448052304",
            "telephone_number": "419-565-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIV8 PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "CEO PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "419-565-8916",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Activ8 Physical Therapy and Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.