NPIMap

Organization Active NPI

Active Development Therapies, LLC

  • Rehabilitation Clinic/Center
  • Porter, TX
National Provider Identifier
1417967944
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ACTIVE DEVELOPMENT THERAPIES, LLC
Practice address
23435 FM 1314 Rd Ste C6
Porter, TX 77365-7738
Phone
(281) 354-3383
Fax
(281) 354-6750
NPI assigned
Aug 8, 2006
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Kimberlyn Delane Loving, PTNPI 1194857045
Title
President/ Director of Habilitation
Phone
(281) 354-3383

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

23435 FM 1314 Rd Ste C6
Porter, TX 77365-7738

Mailing address

PO Box 9
Porter, TX 77365-0009
Phone (281) 354-3383

Other identifiers 1

IdentifierTypeStateIssuer
173277801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127000538 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6800861691 Practice locations: Porter, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417967944. Details of each certification follow.

  • CCN 676594 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676594

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ACTIVE DEVELOPMENT THERAPIES
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 3, 2005
Last certification
Apr 24, 2018
Ownership / control type
Proprietary
Facility address
23435 FM 1314 Rd, Ste C6
Porter, TX 77365

National Provider Directory

National Provider Directory

Locations

23110 Ford Rd
#A
Porter, TX 77365
Phone (281) 354-3383

23435 FM 1314 Rd
Ste C6
Porter, TX 77365
Phone (281) 354-3383

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1417967944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773650009",
            "telephone_number": "281-354-3383",
            "fax_number": "281-354-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23435 FM 1314 RD STE C6",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657738",
            "telephone_number": "281-354-3383",
            "fax_number": "281-354-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DEVELOPMENT THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "LOVING",
        "authorized_official_first_name": "KIMBERLYN",
        "authorized_official_middle_name": "DELANE",
        "authorized_official_title_or_position": "PRESIDENT/ DIRECTOR OF HABILITATION",
        "authorized_official_telephone_number": "281-354-3383",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173277801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

Verify at the official NPI Registry.