Organization Active NPI

Active Aging and Rehabilitation Partners, LLC

  • Physical Therapy Clinic/Center
  • Cheyenne, WY
National Provider Identifier
1265861884
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1376 Issued in WY
Legal business name
ACTIVE AGING AND REHABILITATION PARTNERS, LLC
Practice address
215 Walterscheid Blvd
Apt F305
Cheyenne, WY 82007-2333
Phone
(207) 951-0704
NPI assigned
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Dr. Jason R Falvey, PT, DPT, GCS, CEEAANPI 1891120986
Title
Sole Member
Phone
(207) 951-0704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1376 WY Primary

Addresses

Primary practice location

215 Walterscheid Blvd
Apt F305
Cheyenne, WY 82007-2333

Mailing address

215 Walterscheid Blvd
Apt F305
Cheyenne, WY 82007-2333

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1265861884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WALTERSCHEID BLVD",
            "address_2": "APT F305",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WALTERSCHEID BLVD",
            "address_2": "APT F305",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072333",
            "telephone_number": "207-951-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE AGING AND REHABILITATION PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "FALVEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "207-951-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, GCS, CEEAA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WY",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.