Active NPI
Activa, LC
- Physical Therapist
- Cooper City, FL
National Provider Identifier
1245234848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ACTIVA, LC
- Practice address
- 9720 Stirling Rd
Suite 104
Cooper City, FL 33024-8014 - Phone
- (954) 374-0160
- Fax
- (954) 374-0163
- NPI assigned
- Jun 10, 2005
- Last updated
- Apr 2, 2010
- 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
- Mr. Oscar G. Ferreira
- Title
- Administrative Manager
- Phone
- (954) 374-0160
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Geriatric Physical Therapist | 2251G0304X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapy Assistant | 225200000X | |||
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Gerontology Occupational Therapist | 225XG0600X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Low Vision Occupational Therapist | 225XL0004X |
Addresses
Primary practice location
9720 Stirling Rd
Suite 104
Cooper City, FL 33024-8014
Mailing address
9720 Stirling Rd
Suite 104
Cooper City, FL 33024-8014
Phone (954) 374-0160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889541400 | Medicaid | FL | |
| 686623996 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9720 Stirling Rd
Ste 104
Hollywood, FL 33024
Phone (954) 374-0160
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Physical Therapist
- Boca Raton, FL
- NPI 1104999507
-
- Physical Therapist
- Miramar, FL
- NPI 1255838231
-
- Physical Therapist
- Coconut Creek, FL
- NPI 1003951609
-
- Physical Therapist
- Hollywood, FL
- NPI 1851619944
-
- Occupational Therapist
- Hallandale Beach, FL
- NPI 1912402538
Single Specialty
-
- Physical Therapist
- Miami Gardens, FL
- NPI 1558391508
-
- Occupational Therapist
- Miami, FL
- NPI 1366527699
-
- Occupational Therapist
- Miramar, FL
- NPI 1619017357
-
- Occupational Therapist
- Plantation, FL
- NPI 1205945979
-
- Occupational Therapist
- Miami, FL
- NPI 1780704288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270166400000",
"number": "1245234848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 STIRLING RD",
"address_2": "SUITE 104",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "330248014",
"telephone_number": "954-374-0160",
"fax_number": "954-374-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 STIRLING RD",
"address_2": "SUITE 104",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "330248014",
"telephone_number": "954-374-0160",
"fax_number": "954-374-0163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVA, LC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-10",
"last_updated": "2010-04-02",
"status": "A",
"authorized_official_last_name": "FERREIRA",
"authorized_official_first_name": "OSCAR",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
"authorized_official_telephone_number": "954-374-0160",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889541400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "686623996",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
- 123Wounds LLC (Advanced Wound Care Specialists)
- 1St Nursing Care Services
- 8201 Stirling Road Opco LLC (Oakmonte Village of Davie)
- A Grandparents Safe Place LLC
- Abc Speech & Language Therapy, Inc.
- Kelly Lynn Adams, D.O.
- Lauren Adkins, MOT
- Al Ventures, LLC (Comforts of Home)
- Graciela Celia Alayon, ARNP
- Alberto Herrada DPM PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.