Activ Therapy Group LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ACTIV THERAPY GROUP LLC

Practice address

5531 N University Dr Ste 103
Coral Springs, FL 33067-4649

Phone

(954) 651-6400

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Mitin Patel

Title

MGR

Phone

(561) 394-0776

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1629895313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 N UNIVERSITY DR STE 103",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674649",
            "telephone_number": "954-651-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5531 N UNIVERSITY DR STE 103",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674649",
            "telephone_number": "954-651-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIV THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITIN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-394-0776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Acosta, ARNP
• Angelica Maria Acosta
• Cassandra Acosta
• Jessica Acosta
• Luz Beatriz Acosta, LMT
• Activa Health Services, Inc.
• Activa Homecare, LLC
• Acupuncture Wellness Center of Coral Springs P.a.
• Adam Barbag, DMD PA
• Dawn A Adams-Meredith, LCSW

• All providers in Coral Springs, FL
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.