NPIMap

Organization Active NPI

Active Rehabilitation,Inc.

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1629086731
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE REHABILITATION,INC.
Practice address
1200 Coit Rd
Suite 101a
Plano, TX 75075-4750
Phone
(972) 964-6633
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Scott Caldwell, MED.
Title
President
Phone
(972) 964-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

1200 Coit Rd
Suite 101a
Plano, TX 75075-4750

Mailing address

PO Box 261441
Plano, TX 75026-1441
Phone (972) 964-6633

Other identifiers 3

IdentifierTypeStateIssuer
5109303OtherTXAETNA,PPO,POS,EPO
0002DZOtherTXBLUECROSS
0078383OtherTXBLUELINK NUMBER

National Provider Directory

National Provider Directory

Locations

1200 Coit Rd
Ste 101A
Plano, TX 75075
Phone (972) 964-6589

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629086731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261441",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750261441",
            "telephone_number": "972-964-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COIT RD",
            "address_2": "SUITE 101A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754750",
            "telephone_number": "972-964-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE REHABILITATION,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-964-6633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MED."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA,PPO,POS,EPO",
            "identifier": "5109303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "0002DZ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINK NUMBER",
            "identifier": "0078383",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.