Active NPI
Active 360 Therapy
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1174349575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ACTIVE 360 THERAPY
- Practice address
- 6212 York Rd
Baltimore, MD 21212-2612 - Phone
- (301) 776-8103
- Fax
- (410) 755-7797
- NPI assigned
- Dec 2, 2024
- Last updated
- Oct 10, 2025
- 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
- Calista Chana
- Title
- Ceo
- Phone
- (301) 776-8103
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Home Health Registered Nurse | 163WH0200X | |||
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
6212 York Rd
Baltimore, MD 21212-2612
Mailing address
6801 Oak Hall LN Unit 6462
Columbia, MD 21045-7587
Phone (301) 776-8103
Other practice location 1
7060 Oakland Mills Rd Ste Lm&n
Columbia, MD 21046-1694
Phone (301) 776-8103
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Home Health Aide
- Washington, DC
- NPI 1689063091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760054400000",
"number": "1174349575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 OAK HALL LN UNIT 6462",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210457587",
"telephone_number": "301-776-8103",
"fax_number": "410-755-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6212 YORK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212122612",
"telephone_number": "301-776-8103",
"fax_number": "410-755-7797"
}
],
"practiceLocations": [
{
"address_1": "7060 Oakland Mills Rd Ste Lm&n",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210461694",
"country_code": "US",
"telephone_number": "301-776-8103",
"fax_number": "410-755-7797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ACTIVE 360 THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-02",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A",
"authorized_official_last_name": "CHANA",
"authorized_official_first_name": "CALISTA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-776-8103"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Act Community Services
- Actify ABA Therapy MD, LLC
- Action Behavioral Health LLC
- Action Therapies Inc
- Activate Body Potential, Inc.
- Active Day MD, Inc. (Active Day Rehabilitation Services)
- Active Day MD, Inc. (Active Day of Baltimore)
- Active Quality Care Inc
- Actively Aging to Perfection LLC
- Activus Technologies Corporation (Dynatron Fitness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.