Organization Active NPI

Active Physical Rehabilitation

  • Physical Therapist
  • Manasquan, NJ
National Provider Identifier
1730760612
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE PHYSICAL REHABILITATION
Doing business as
Active Physical Rehabilitation
Practice address
2516 Highway 35
Manasquan, NJ 08736-1925
Phone
(732) 223-6312
Fax
(732) 223-6409
NPI assigned
Apr 21, 2021
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Mrs. Diane Willis-Moore
Title
Supervisor/Biller
Phone
(732) 223-6309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2516 Highway 35
Manasquan, NJ 08736-1925

Mailing address

2516 Highway 35
Manasquan, NJ 08736-1925
Phone (732) 223-6309

Other names 1

  • Active Physical Rehabilitation Doing business as

National Provider Directory

National Provider Directory

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": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1730760612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 HIGHWAY 35",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361925",
            "telephone_number": "732-223-6309",
            "fax_number": "732-223-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 HIGHWAY 35",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361925",
            "telephone_number": "732-223-6312",
            "fax_number": "732-223-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE PHYSICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "WILLIS-MOORE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "SUPERVISOR/BILLER",
        "authorized_official_telephone_number": "732-223-6309",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Physical Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.