Activa Physical Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070.020870 Issued in IL

Legal business name

ACTIVA PHYSICAL THERAPY INC.

Practice address

1935 Springbrook Square Dr
Suite 105
Naperville, IL 60564-5947

Phone

(269) 806-8408

NPI assigned

Feb 17, 2015

Last updated

Feb 17, 2015By 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

Samir Sharma, PT, DPTNPI 1215340161

Title

Owner/Physical Therapist

Phone

(269) 806-8408

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Samir Sharma

  • Physical Therapist
  • Chicago, IL
  • NPI 1215340161
  NPD Authorized official
• Cyril T Kanjookaran

  • Physical Therapist
  • Western Springs, IL
  • NPI 1245877471
  NPD
• Carson Moesle, ATC

  • Physical Therapist
  • Orland Park, IL
  • NPI 1598121725
  NPD
• Kevin Whalen, DPT

  • Physical Therapist
  • Naperville, IL
  • NPI 1679204234
  NPD
• Ryan Roschman

  • Physical Therapy Assistant
  • Naperville, IL
  • NPI 1912449125
  NPD (past)

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1548651102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 SPRINGBROOK SQUARE DR",
            "address_2": "SUITE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 SPRINGBROOK SQUARE DR",
            "address_2": "SUITE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645947",
            "telephone_number": "269-806-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVA PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "269-806-8408",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070.020870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Achieving Solutions Counseling, Inc.
• Acitve Day in, Inc. (Active Day of Naperville)
• Genevieve Ackerman
• Adele Ackert
• Action Chiropractic and Sports Injury Center of Naperville, LLC
• Active Life Institute
• Active Medical Naperville LTD (Active Medical Center)
• Active Motion Physical Therapy, P.C.
• Activefit360 LLC
• Acuwell LLC

• Physical Therapy Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.