Active Edge Sports PT and Conditioning

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVE EDGE SPORTS PT AND CONDITIONING

Practice address

13 Dennis Hill Rd
Byram Township, NJ 07821-3630

Phone

(973) 975-3077

NPI assigned

Apr 9, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Brian Robertson, PT, DPT, ATCNPI 1619486511

Title

Physical Therapist

Phone

(973) 975-3077

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brian James Robertson, DPT

  • Physical Therapist
  • Newton, NJ
  • NPI 1619486511
  NPD Authorized official

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1134062862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DENNIS HILL RD",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078213630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 DENNIS HILL RD",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078213630",
            "telephone_number": "973-975-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE EDGE SPORTS PT AND CONDITIONING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-975-3077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Clare Canzone, LCSW
• Capitol Care, Inc
• Capitol Care, Inc.
• Noha Eltaki
• Joanna Flora, LPAT, LCAT, LAC

• Physical Therapist in Byram Township, NJ
• Providers in Byram Township, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.