Organization Active NPI

Co-Active Physical Therapy and Wellness Center

  • Physical Therapist
  • Grapevine, TX
National Provider Identifier
1124860143
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CO-ACTIVE PHYSICAL THERAPY AND WELLNESS CENTER
Practice address
301 Harmony Hill Rd
Grapevine, TX 76051-1135
Phone
(770) 241-4526
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Megha ShahNPI 1730510462
Title
Physical Therapist
Phone
(770) 241-4526

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

301 Harmony Hill Rd
Grapevine, TX 76051-1135

Mailing address

301 Harmony Hill Rd
Grapevine, TX 76051-1135
Phone (770) 241-4526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240915000004 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890235097 Receives reassigned benefits from 1 practitioner
Practice locations: Euless, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1124860143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HARMONY HILL RD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511135",
            "telephone_number": "770-241-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HARMONY HILL RD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511135",
            "telephone_number": "770-241-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-ACTIVE PHYSICAL THERAPY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MEGHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "770-241-4526"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.