Active at Home Senior Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVE AT HOME SENIOR SERVICES

Practice address

3523 Courtland Dr
Durham, NC 27707-5134

Phone

(919) 605-6105

NPI assigned

Feb 26, 2022

Last updated

Aug 30, 2023By 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

Jennifer Brewer, DPT, GCSNPI 1912477639

Title

Owner

Phone

(919) 605-6105

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Jennifer Marie Brewer

  • Physical Therapist
  • Durham, NC
  • NPI 1912477639
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Struzyk, OTR/L

  • Occupational Therapist
  • Raleigh, NC
  • NPI 1568927382
  Medicare reassignment Care Compare group NPD
• Lisa Werner, PT

  • Physical Therapist
  • Durham, NC
  • NPI 1750148631
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1669128740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 HOPE VALLEY RD STE 4F-417",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075651",
            "telephone_number": "919-605-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 COURTLAND DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075134",
            "telephone_number": "919-605-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE AT HOME SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-605-6105",
        "authorized_official_credential": "DPT, GCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feras Yacoub Ackall, M.D.
• Leah Acker, PH.D., M.D.
• Ackna Home Health and Case Management Services, LLC (Ackna)
• Acme Counseling Center
• Acme Pathology and Laboratory, PLLC
• Activedge Fitness and Sports Performance, Inc.
• Actualities Limited
• Acupuncture and Chiropractic Care Center Inc. (Dr. Spiro N. Comis DC)
• Acussage Wellness Therapy
• Adam Bowers DDS PLLC

• Physical Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.