Activus Technologies Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ACTIVUS TECHNOLOGIES CORPORATION

Doing business as

Dynatron Fitness

Practice address

3817 Menlo Dr
Baltimore, MD 21215-3414

Phone

(410) 367-2958

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Brian Wolf

Title

Ceo

Phone

(410) 367-2958

Specialties & licenses 1

Addresses

Other names 1

• Dynatron Fitness Doing business as

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174050157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 MENLO DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153414",
            "telephone_number": "410-367-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 MENLO DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153414",
            "telephone_number": "410-367-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVUS TECHNOLOGIES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-367-2958",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynatron Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.