Active NPI
Active Life Physical Therapy, Inc.
- Physical Therapist
- Hayward, CA
National Provider Identifier
1154376820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Orthopedic Physical Therapist
- Hayward, CA
- NPI 1235115817
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.