Organization Active NPI

Active Rehabilitation

  • Specialist
  • Irving, TX
National Provider Identifier
1730190349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1000347 Issued in TX
Legal business name
ACTIVE REHABILITATION
Practice address
4040 N Macarthur Blvd
Suite 100
Irving, TX 75038-6413
Phone
(972) 594-6633
Fax
(972) 595-8910
NPI assigned
Aug 10, 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
Jani Lee Collins, P.T.
Title
Physical Therapist
Phone
(972) 594-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1000347 TX Primary

Addresses

Primary practice location

4040 N Macarthur Blvd
Suite 100
Irving, TX 75038-6413

Mailing address

1200 Coit Rd
Suite 101a
Plano, TX 75075-4750
Phone (972) 964-6633

National Provider Directory

National Provider Directory
Tax ID family
Active Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4040 N MacArthur Blvd
Ste 100
Irving, TX 75038
Phone (972) 823-7700

Practitioners & affiliated clinicians

Practitioners 1

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730190349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 COIT RD",
            "address_2": "SUITE 101A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754750",
            "telephone_number": "972-964-6633",
            "fax_number": "972-964-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 N MACARTHUR BLVD",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386413",
            "telephone_number": "972-594-6633",
            "fax_number": "972-595-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JANI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "972-594-6633",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1000347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, 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.