Active Physical Therapy Services, LLC
Organization Active NPI Physical Therapy Clinic/Center · Frederick, MD
NPI 1043892797 · NPPES record last updated Apr 22, 2021
Key facts
- NPI
- 1043892797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- ACTIVE PHYSICAL THERAPY SERVICES, LLC
- Practice address
- 405 S Jefferson St Unit B
Frederick, MD 21701-6272 - Phone
- (301) 662-9335
- NPI assigned
- Apr 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Terry Paul
- Title
- Credential Coordinator
- Phone
- (410) 970-8190
Corporate family (same tax ID) 2
Practitioners 4
-
Reeba Anna Abraham, OTR/L
-
Sarah Kovalchick, PT
-
Shannon Collins, PT
-
Anjali R Ghodake, DPT
National Provider Directory
- Tax ID family
- Active Phys Therapy Service
Locations
405 S Jefferson St
Unit B
Frederick, MD 21701
Phone (301) 662-9335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
405 S Jefferson St Unit B
Frederick, MD 21701-6272
Mailing address
PO Box 419666
Boston, MA 02241-0966
Phone (410) 970-8190
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All providers in Frederick, MD · Physical Therapy Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.