Activepro Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019510 Issued in NY

Legal business name

ACTIVEPRO PHYSICAL THERAPY PC

Practice address

817 E 180TH St
Bronx, NY 10460-1305

Phone

(718) 220-6262

Fax

(718) 355-9652

NPI assigned

Jan 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Richard Holsman, PT, DPT, MAT, GCS

Title

President and Ceo

Phone

(718) 355-9652

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1477976389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILL ST UNIT H3",
            "address_2": "UNIT H3",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071095306",
            "telephone_number": "973-759-1494",
            "fax_number": "973-759-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E 180TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104601305",
            "telephone_number": "718-220-6262",
            "fax_number": "718-355-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVEPRO PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "HOLSMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "718-355-9652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MAT, GCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019510",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016043",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Acquaye, RN
• Antoniette Acquista-Aberasturi
• Active Care Medical Supply, Inc.
• Active Mobility Physical Therapy of New York PLLC
• Active Motion Physical Therapy PC
• Ela Acuesta-Laureta
• Rodrigo Mauricio Acuna
• Nana Luther Adabankah
• Razieh Adabimohazab
• Akinori Adachi, MD

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.