Organization Active NPI

Active Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Glen Allen, VA
National Provider Identifier
1245820174
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACTIVE PHYSICAL THERAPY LLC
Practice address
8356 Charing LN
Glen Allen, VA 23059-5389
Phone
(973) 980-2685
NPI assigned
Jan 25, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Anthony Maritato
Title
PT
Phone
(513) 420-9999

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

NPPES NPI Registry

Primary practice location

8356 Charing LN
Glen Allen, VA 23059-5389

Mailing address

8356 Charing LN
Glen Allen, VA 23059-5389
Phone (973) 980-2685

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2021.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1245820174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8356 CHARING LN",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595389",
            "telephone_number": "973-980-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8356 CHARING LN",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595389",
            "telephone_number": "973-980-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "MARITATO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "513-420-9999"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.