NPIMap

Organization Active NPI

Active Care Spine and Sports Rehab LLC

  • Physical Therapist
  • Dover, NJ
National Provider Identifier
1780626440
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTIVE CARE SPINE AND SPORTS REHAB LLC
Practice address
600 Mount Pleasant Avenue
Suite F
Dover, NJ 07801
Phone
(973) 891-1080
Fax
(973) 891-1081
NPI assigned
Jun 10, 2006
Last updated
Jun 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Authorized official

Name
Mr. Rik Couwenberg, PTNPI 1578552345
Title
Owner/Managing Director/PT
Phone
(973) 366-4000

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
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

600 Mount Pleasant Avenue
Suite F
Dover, NJ 07801

Mailing address

182 South St
Suite 7
Morristown, NJ 07960-5377
Phone (973) 540-0046

Other names 1

  • ActiveCare Spine & Sports Rehab Other name

National Provider Directory

National Provider Directory

Locations

182 South St
Ste 7
Morristown, NJ 07960
Phone (973) 540-0046

Practitioners & affiliated clinicians

Practitioners 8

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1780626440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SOUTH ST",
            "address_2": "SUITE 7",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605377",
            "telephone_number": "973-540-0046",
            "fax_number": "973-540-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOUNT PLEASANT AVENUE",
            "address_2": "SUITE F",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "07801",
            "telephone_number": "973-891-1080",
            "fax_number": "973-891-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CARE SPINE AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "COUWENBERG",
        "authorized_official_first_name": "RIK",
        "authorized_official_title_or_position": "OWNER/MANAGING DIRECTOR/PT",
        "authorized_official_telephone_number": "973-366-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActiveCare Spine & Sports Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.