Active Physical Therapy PLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009009 Issued in MI

Legal business name

ACTIVE PHYSICAL THERAPY PLC

Practice address

216 Munson Ave Ste B
Traverse City, MI 49686-3099

Phone

(231) 947-3144

Fax

(231) 947-0415

NPI assigned

May 13, 2010

Organization subpart

No

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

Authorized official

Name

Tania M Santos, PTNPI 1730239765

Title

Member

Phone

(231) 878-4787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Tania M.D. Santos, PT

  • Physical Therapist
  • Traverse City, MI
  • NPI 1730239765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1700104841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MUNSON AVE STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863099",
            "telephone_number": "231-947-3144",
            "fax_number": "231-947-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MUNSON AVE STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863099",
            "telephone_number": "231-947-3144",
            "fax_number": "231-947-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "231-878-4787",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Ackley, MA CCC-SLP
• Acorn Counseling LLC
• Acorn Health of Michigan, LLC
• Michael Acosta, LMSW
• Active Brace and Limb LLC
• Acts of Love Home Companions, LLC
• Actualized Self Counseling and Wellness P.L.L.C.
• Acv Traverse City PLLC
• Sarah Elizabeth Adama
• Amanda L Adams

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.