Organization Active NPI

Active Solutions Rehab & Wellness LLC

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1609462829
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE SOLUTIONS REHAB & WELLNESS LLC
Practice address
12502 Loquat Way
Tampa, FL 33626-3048
Phone
(919) 428-0383
NPI assigned
Dec 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Rebecca Klingenschmitt, PTNPI 1487023982
Title
Physical Therapist
Phone
(813) 618-3316

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12502 Loquat Way
Tampa, FL 33626-3048

Mailing address

12502 Loquat Way
Tampa, FL 33626-3048
Phone (919) 428-0383

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1609462829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 LOQUAT WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263048",
            "telephone_number": "919-428-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 LOQUAT WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263048",
            "telephone_number": "919-428-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SOLUTIONS REHAB & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "KLINGENSCHMITT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "813-618-3316",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.