Active Living PT & Wellness LLC
Organization Active NPI Physical Therapist · Phoenix, AZ
NPI 1962384586 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1962384586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ACTIVE LIVING PT & WELLNESS LLC
- Practice address
- 353 W Southern Hills Rd
Phoenix, AZ 85023-6242 - Phone
- (509) 280-4744
- NPI assigned
- Jul 24, 2025
- Organization subpart
- No
Authorized official
- Name
- Jacob Sprute, DPT
- Title
- Owner/Physical Therapist
- Phone
- (509) 280-4744
Practitioners 1
-
Jacob Ray Sprute, DPT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
353 W Southern Hills Rd
Phoenix, AZ 85023-6242
Mailing address
353 W Southern Hills Rd
Phoenix, AZ 85023-6242
Phone (509) 280-4744
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All providers in Phoenix, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.