Active Rehab Physical Therapy, Inc.
Organization Active NPI Physical Therapist · American Canyon, CA
NPI 1104914878 · NPPES record last updated Aug 29, 2014
Key facts
- NPI
- 1104914878
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT27031 (CA)
- Legal business name
- ACTIVE REHAB PHYSICAL THERAPY, INC.
- Practice address
- 3419 Broadway St
Suite H-10
American Canyon, CA 94503-1261 - Phone
- (707) 648-3144
- Fax
- (707) 644-0630
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael B. Scates, PT, MS, DPT
- Title
- President/Ceo
- Phone
- (707) 648-3144
Practitioners 5
-
Cynthia Stover, P.A.
-
Peter B Tan, RPT
-
Arleen D Thomas, PT, OWNER
-
Nina Goradia, PT
National Provider Directory
Locations
6350 San Pablo Dam Rd
El Sobrante, CA 94803
Phone (510) 243-1871
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT27031 | CA | Yes |
Addresses
Primary practice location
3419 Broadway St
Suite H-10
American Canyon, CA 94503-1261
Mailing address
1933 Banyon CMN
Livermore, CA 94550-4787
Phone (707) 648-3144
Other providers in American Canyon, CA
- Abba in-Home Care Services, LLC
- Lizet Aguilar
- American Canyon Fire Protection District
- American Canyon High School
- American Canyon Middle School
- American Canyon Open MRI
All providers in American Canyon, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2014. 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.