Active Life Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ACTIVE LIFE PHYSICAL THERAPY INC

Practice address

955 Black Drive
Prescott, AZ 86305

Phone

(928) 778-2227

Fax

(928) 771-9159

NPI assigned

Jul 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dayna Weary

Title

Vice President

Phone

(928) 778-2227

Specialties & licenses 1

Addresses

Locations

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.

• Bruce A. Weary, DC

  • Chiropractor
  • Prescott, AZ
  • NPI 1295728376
  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316145709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WILLOW CREEK RD",
            "address_2": "#104",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-778-2227",
            "fax_number": "928-771-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BLACK DRIVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-778-2227",
            "fax_number": "928-771-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEARY",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "928-778-2227",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Lawrence Abramowitz, MD
• Benjamin Robert Abt, D.M.D., M.D.
• Joseph R Abt, DMD
• Angelita Acosta-del Rio, LDO
• Lois Karleen Acosta, IBCLC
• Deborah Anne Adams-Courtland
• Eileen T Adams, LMSW
• Richard Mark Adler, MS, CCC-SLP
• Adult Residential Care Services, Inc. (The Margaret T. Morris Center)
• Adult Residential Care Services, Inc. (The Margaret T. Morris Center)

• Physical Therapy Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.