Active DC Physiotherapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVE DC PHYSIOTHERAPY LLC

Practice address

818 18TH St NW
Washington, DC 20006-3513

Phone

(202) 780-1663

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Jewel McSwain

Title

HR Generalist / Credentialing

Phone

(415) 788-9516

Specialties & licenses 1

Addresses

Other names 1

• Therapydia DC Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Joseph Ripp, PT, DPT

  • Physical Therapist
  • Washington, DC
  • NPI 1316504491
  Medicare reassignment Care Compare group NPD
• Angelo Abis, DPT

  • Physical Therapist
  • East Windsor, NJ
  • NPI 1568182236

  DC

  Medicare reassignment Care Compare group NPD
• Robert Rogacki, DPT

  • Physical Therapist
  • Bethesda, MD
  • NPI 1578996260

  DC

  Medicare reassignment Care Compare group NPD
• Joanne Gribler, PT, DPT, CMTPT

  • Physical Therapist
  • Washington, DC
  • NPI 1609268820
  NPD (past)
• Jennifer Marie Nelson, DPT

  • Physical Therapist
  • Rochester, MN
  • NPI 1255661724
  NPD (past)

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1902628050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 18TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 18TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063513",
            "telephone_number": "202-780-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE DC PHYSIOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MCSWAIN",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_title_or_position": "HR GENERALIST / CREDENTIALING",
        "authorized_official_telephone_number": "415-788-9516"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapydia DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Teresa Acquaviva, NURSE PRACTITIONER
• Act IV
• Act IV
• Act IV
• Act-4
• Active Health Services, Inc
• Ebony Marie Acty
• Aracelly Acuna
• Ad Modum Solutions
• Natacha Christine Ada Ayissi

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.