NPIMap

Organization Active NPI

Active Recovery, LLC

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1871774299
Registry record updated Sep 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACTIVE RECOVERY, LLC
Practice address
1704 Lena St Ste A1
Santa Fe, NM 87505-2002
Phone
(505) 982-5868
NPI assigned
Nov 15, 2007
Last updated
Sep 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2013

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

Authorized official

Name
Elisabeth RimannNPI 1275668816
Title
Initial Registered Agent
Phone
(505) 982-5868

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1704 Lena St Ste A1
Santa Fe, NM 87505-2002

Mailing address

1704 Lena St Ste A1
Santa Fe, NM 87505-2002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130724000445 NM Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941441539 Receives reassigned benefits from 4 practitioners
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

1704 Lena St
Ste A1
Santa Fe, NM 87505
Phone (505) 913-1646

Practitioners & affiliated clinicians

Practitioners 7

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378598400000",
    "number": "1871774299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 LENA ST STE A1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 LENA ST STE A1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052002",
            "telephone_number": "505-982-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2013-09-08",
        "status": "A",
        "authorized_official_last_name": "RIMANN",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "INITIAL REGISTERED AGENT",
        "authorized_official_telephone_number": "505-982-5868"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2013; 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.