ACTIVE PT CORP (NPI# 1124205604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124205604 |
| Entity Type | Organization |
| Organization Name | ACTIVE PT CORP |
| Practice Address |
3265 19th St Nw Suite 240 Rochester MN 55901 |
| Mailing Address |
Po Box 7197 Rochester MN 55903-7197 |
| Practice Telephone | 8002870171 |
| Practice Fax Number | 8002870171 |
| Mailing Telephone | 8002870171 |
| Mailing Fax Number | 8002870171 |
| Enumeration Date | 2008-01-27 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | MRS. JOAN MARIE WARD (PRESIDENT) |
| Authorized Official Telephone | 8002870171 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 17549500 | 05 |
| Street Address |
3265 19TH ST NW SUITE 240 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972570497 | Rozlind X Kramer | Psychologist | 3265 19th St Nw, Suite 350, Rochester, MN 55901-6786 | 2006-03-02 |
| 1568995348 | Intuition Physical Therapy LLC | Clinic/Center | 3265 19th St Nw, Suite 210, Rochester, MN 55901-6786 | 2017-04-07 |
| 1558641555 | Barbara (bree) Johnson Seger | Marriage & Family Therapist | 3265 19th St Nw, Rochester, MN 55901-6786 | 2011-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260352 | Aurore Lucille Dorsinville | Clinic/Center | 93 Smyles Dr, Rochester, NY 14609-3130 | 2020-09-16 |
| 1558908103 | Taylor F Wolin | Clinic/Center | 238 Edgerton St, Rochester, NY 14607-3317 | 2019-12-03 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1639694383 | Orthopedic Spine & Sports Inc | Clinic/Center | 480 E 2nd St, Rochester, MI 48307-2006 | 2017-08-03 |
| 1366985947 | Barrington Physical Therapy, LLC | Clinic/Center | 29 Ledgeview Dr, Rochester, NH 03839-5618 | 2016-11-30 |
| 1780059949 | Banks Physical Therapy | Clinic/Center | 4270 Maine Ave Se, Suite 300, Rochester, MN 55904-6935 | 2015-12-14 |
| 1932571221 | Catalyst Physiotherapy LLC | Clinic/Center | 145 Peavine Dr, Rochester, VT 05767-9669 | 2015-10-26 |
| 1457722837 | Eresultspt | Clinic/Center | 2202 21st St Nw, Rochester, MN 55901-0614 | 2015-10-12 |
| 1003932120 | Occupational Health Centers of New York, P.a., P.C. | Clinic/Center | 687 Lee Rd., Suite 208, Rochester, NY 14606 | 2007-03-21 |
| 1164478285 | Plaza Sports Medicine & Rehabilitation PC | Clinic/Center | One Whipple Lane, Rochester, NY 14622 | 2006-05-26 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.