Active Health Physical Therapy, Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

32763 Issued in CA

Legal business name

ACTIVE HEALTH PHYSICAL THERAPY, INC.

Doing business as

Active Health Physical Therapy

Practice address

10585 Santa Monica Blvd
Suite 100
Los Angeles, CA 90025-4921

Phone

(310) 994-4663

Fax

(310) 310-3865

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Tanya Leigh Macleod, PT, DPTNPI 1447297262

Title

President

Phone

(310) 994-4663

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Active Health Physical Therapy Doing business as

Locations

Practitioners 1

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

• Tanya Leigh Macleod, PT, DPT

  • Orthopedic Physical Therapist
  • Los Angeles, CA
  • NPI 1447297262
  NPD Authorized official

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1952555609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 7TH ST",
            "address_2": "SUITE D",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032779",
            "telephone_number": "310-994-4663",
            "fax_number": "310-310-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10585 SANTA MONICA BLVD",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254921",
            "telephone_number": "310-994-4663",
            "fax_number": "310-310-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "MACLEOD",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-994-4663",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "32763",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "32763",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "32763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "32763",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Health Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopedic Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.