Organization Active NPI

Active Life Physical Therapy, Inc.

  • Physical Therapist
  • Hayward, CA
National Provider Identifier
1154376820
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE LIFE PHYSICAL THERAPY, INC.
Practice address
24301 Southland Dr
Suite #411
Hayward, CA 94545-1542
Phone
(510) 732-6495
Fax
(510) 732-6551
NPI assigned
May 23, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Nikhil D Nadkarni
Title
Owner
Phone
(510) 364-0849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

24301 Southland Dr
Suite #411
Hayward, CA 94545-1542

Mailing address

45149 Pawnee Dr
Fremont, CA 94539-6663
Phone (510) 364-0849

National Provider Directory

National Provider Directory

Locations

2287 Mowry Ave
Ste H
Fremont, CA 94538
Phone (408) 242-8269

Practitioners & affiliated clinicians

Practitioners 1

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1154376820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45149 PAWNEE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396663",
            "telephone_number": "510-364-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR",
            "address_2": "SUITE #411",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451542",
            "telephone_number": "510-732-6495",
            "fax_number": "510-732-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "NADKARNI",
        "authorized_official_first_name": "NIKHIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-364-0849"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.