Organization Active NPI

Activecare Physical Therapy Associates, LLC

  • Physical Therapy Clinic/Center
  • South Dennis, MA
National Provider Identifier
1083833966
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACTIVECARE PHYSICAL THERAPY ASSOCIATES, LLC
Practice address
305 Hokum Rock Rd
South Dennis, MA 02660-2357
Phone
(508) 385-1900
Fax
(508) 546-3050
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Mr. Stephen R. Loomis, MPT
Title
Owner
Phone
(508) 385-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

305 Hokum Rock Rd
South Dennis, MA 02660-2357

Mailing address

305 Hokum Rock Rd
South Dennis, MA 02660-2357
Phone (508) 385-1900

National Provider Directory

National Provider Directory

Locations

305 Hokum Rock Rd
South Dennis, MA 02660
Phone (508) 385-1900

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1083833966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HOKUM ROCK RD",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602357",
            "telephone_number": "508-385-1900",
            "fax_number": "508-546-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HOKUM ROCK RD",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602357",
            "telephone_number": "508-385-1900",
            "fax_number": "508-546-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVECARE PHYSICAL THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-385-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Dennis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.