Organization Active NPI

Active Life Physical Therapy and Injury Care

  • Physical Therapist
  • St George, UT
National Provider Identifier
1326893074
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE LIFE PHYSICAL THERAPY AND INJURY CARE
Practice address
1490 E Foremaster Drive
Ste 260
St. George, UT 84790
Phone
(435) 523-3378
Fax
(435) 523-3376
NPI assigned
Apr 17, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Maria Todd
Title
Authorized Official
Phone
(435) 523-3378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1490 E Foremaster Drive
Ste 260
St. George, UT 84790

Mailing address

PO Box 910898
St. George, UT 84791-0898
Phone (435) 523-3799

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1326893074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910898",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847910898",
            "telephone_number": "435-523-3799",
            "fax_number": "435-523-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DRIVE",
            "address_2": "STE 260",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-523-3378",
            "fax_number": "435-523-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE PHYSICAL THERAPY AND INJURY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "435-523-3378"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.