NPIMap

Organization Active NPI

La Plus Family Investment

Doing business as Active Therapy

  • Physical Therapist
  • Wildwood, FL
National Provider Identifier
1043972557
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LA PLUS FAMILY INVESTMENT
Doing business as
Active Therapy
Practice address
5563 E Sr 44 Unit 6
Wildwood, FL 34785-8282
Phone
(352) 205-9897
NPI assigned
Oct 12, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Utkarsh S PatelNPI 1588948145
Title
Dr/Owner
Phone
(352) 205-9897

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Cardiac Rehabilitation Clinic/Center 261QR0404X NU

Addresses

Primary practice location

5563 E Sr 44 Unit 6
Wildwood, FL 34785-8282

Mailing address

5563 E Sr 44 Unit 6
Wildwood, FL 34785-8282
Phone (352) 205-9897

Other names 1

  • ACTIVE THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211221001273 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052702347 Receives reassigned benefits from 4 practitioners
Practice locations: Wildwood, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1043972557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 E SR 44 UNIT 6",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858282",
            "telephone_number": "352-205-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 E SR 44 UNIT 6",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347858282",
            "telephone_number": "352-205-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PLUS FAMILY INVESTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "UTKARSH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "352-205-9897"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACTIVE THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wildwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.