Active Life Physical Therapy, Inc.

Organization Active NPI Physical Therapist · Hayward, CA

NPI 1154376820 · NPPES record last updated Dec 11, 2007

Key facts

NPI
1154376820
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 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
Organization subpart
No

Authorized official

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

Practitioners 1

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

National Provider Directory

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

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

Other providers in Hayward, CA

All providers in Hayward, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.