NPIMap

Organization Active NPI

WP-PT LLC

Doing business as Active Life PT

  • Physical Therapist
  • Lutherville, MD
National Provider Identifier
1043663206
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WP-PT LLC
Doing business as
Active Life PT
WP-PT LLC
Practice address
1447 York Rd
Suite 401
Lutherville, MD 21093-6017
Phone
(410) 529-3303
Fax
(410) 529-7980
NPI assigned
Jul 22, 2016
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Mr. Joseph Ryan Palmer, DPT,PTNPI 1982992467
Title
Owner
Phone
(410) 529-3303

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

1447 York Rd
Suite 401
Lutherville, MD 21093-6017

Mailing address

4337 Ebenezer Rd
Nottingham, MD 21236-2143
Phone (410) 529-3303

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherMDMEDICARE

Other names 2

  • ACTIVE LIFE PT Doing business as
  • WP-PT LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161024002438 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153609235 Receives reassigned benefits from 17 practitioners
Practice locations: Jacksonville, MD; Lutherville, MD

National Provider Directory

National Provider Directory

Locations

1447 York Rd
Ste 401
Lutherville Timonium, MD 21093
Phone (410) 842-0115

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1043663206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 EBENEZER RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-529-3303",
            "fax_number": "410-529-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 YORK RD",
            "address_2": "SUITE 401",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936017",
            "telephone_number": "410-529-3303",
            "fax_number": "410-529-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP-PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-529-3303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT,PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE LIFE PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACTIVE LIFE PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WP-PT LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.