Active Physical Therapy and Wellness LLC
Organization Active NPI Physical Therapist · Fort Wayne, IN
NPI 1356091946 · NPPES record last updated Mar 25, 2022
Key facts
- NPI
- 1356091946
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ACTIVE PHYSICAL THERAPY AND WELLNESS LLC
- Practice address
- 1344 Jacobs Dr
Fort Wayne, IN 46814-8745 - Phone
- (574) 377-8779
- NPI assigned
- Mar 25, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Suman Panday, DPT
- Title
- Sole Member
- Phone
- (574) 377-8779
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1344 Jacobs Dr
Fort Wayne, IN 46814-8745
Mailing address
1344 Jacobs Dr
Fort Wayne, IN 46814-8745
Phone (574) 377-8779
Other providers in Fort Wayne, IN
- Dominick Acquaro
- Dominick Joseph Acquaro
- Gabrielle Paloma Acquaro
- Acss, LLC
- Act 3 Care LLC
- Acupuncture and Wellness Center, LLC
- Alyssa Adair
- Cierra Adair
- Jennifer Adair
- Luther Bert Adair II
All providers in Fort Wayne, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.