Active Therapy Group LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ACTIVE THERAPY GROUP LLC

Practice address

331 W State Highway 6 Ste G
Waco, TX 76710-5584

Phone

(254) 300-1941

NPI assigned

Feb 8, 2023

Last updated

Feb 8, 2023By 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

Erika Sutton, DPTNPI 1114235546

Title

Owner

Phone

(254) 300-1941

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 8

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.

• Erika Sutton, P.T.

  • Orthopedic Physical Therapist
  • Waco, TX
  • NPI 1114235546
  Medicare reassignment Care Compare group NPD Authorized official
• Ricardo G Altahif Jr., OTD

  • Occupational Therapist
  • Waco, TX
  • NPI 1073166559
  Medicare reassignment Care Compare group NPD
• Tricia Denise Blalock, PT, DPT

  • Physical Therapist
  • Mount Pleasant, TX
  • NPI 1609260231
  Medicare reassignment Care Compare group NPD
• Haley Katherine Flores, PT, DPT

  • Physical Therapist
  • Waco, TX
  • NPI 1770240129
  Medicare reassignment Care Compare group NPD
• Thomas Masashi Ikeda, OTR L

  • Occupational Therapist
  • Waco, TX
  • NPI 1891751889
  Medicare reassignment Care Compare group NPD
• Ayrton James Martinez, DPT

  • Physical Therapist
  • Waco, TX
  • NPI 1235921305
  Medicare reassignment Care Compare group NPD
• Nicholas Gregg Young, PT

  • Physical Therapist
  • Decatur, TX
  • NPI 1528808334
  Medicare reassignment Care Compare group NPD
• Miranda Kelinske, PT

  • Physical Therapist
  • Larkspur, CA
  • NPI 1356643803

  Multi-Specialty, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1326745647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W STATE HIGHWAY 6 STE G",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105584",
            "telephone_number": "254-300-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W STATE HIGHWAY 6 STE G",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105584",
            "telephone_number": "254-300-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-300-1941",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ace Dental06, PC (ACE Dental)
• Allison Joy Achilefu, MD
• John Freeland Ackley, D.O.
• Acre Wood Dental
• Active Sports Physical Therapy PLLC
• Charles Thomas Adamo, DDS, MS
• Wendy Adamo, PT, DPT
• Renee Adamonis, LAT, ATC
• Cynthia Stephens Adams
• Eidel Nerli Adams

• Physical Therapy Clinic/Center in Waco, TX
• Providers in Waco, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.

Verify at the official NPI Registry.