Organization Active NPI

Active Solutions Therapy Serv Inc

  • Orthopedic Physical Therapist
  • Edgewood, NM
National Provider Identifier
1720075880
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1666 Issued in NM
Legal business name
ACTIVE SOLUTIONS THERAPY SERV INC
Practice address
1 Linnie CT
Edgewood, NM 87015-9125
Phone
(505) 286-7838
Fax
(505) 286-8025
NPI assigned
Oct 4, 2005
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Matthew Shultz, PHDNPI 1730995010
Title
Owner
Phone
(505) 286-7838

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 1666 NM Primary

Addresses

Primary practice location

1 Linnie CT
Edgewood, NM 87015-9125

Mailing address

PO Box 896
Edgewood, NM 87015-0896
Phone (505) 286-7838

Other identifiers 1

IdentifierTypeStateIssuer
E2935MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041109000489 NM Part B Supplier - Clinic/Group Practice 9638132830 Receives reassigned benefits from 16 practitioners
Practice locations: Albuquerque, NM; Edgewood, NM; Cedar Crest, NM

National Provider Directory

National Provider Directory

Locations

716 2nd St
Fort Lupton, CO 80621
Phone (505) 286-7838

3901 Singer Blvd NE
Ste B
Albuquerque, NM 87109
Phone (505) 280-0079

4101 Paseo del Norte NE
Ste 1
Albuquerque, NM 87113
Phone (505) 286-7838

12220 N Highway 14
Ste L
Cedar Crest, NM 87008
Phone (505) 407-2153

1 Linnie Ct
Edgewood, NM 87015
Phone (505) 286-7838

150 NM 344
Edgewood, NM 87015
Phone (505) 286-7838

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1720075880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870150896",
            "telephone_number": "505-286-7838",
            "fax_number": "505-286-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINNIE CT",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870159125",
            "telephone_number": "505-286-7838",
            "fax_number": "505-286-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE SOLUTIONS THERAPY SERV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-286-7838",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "1666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E2935",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.