ACTIVE PHYSICAL THERAPY, INC. (NPI# 1558583708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558583708 |
| Entity Type | Organization |
| Organization Name | ACTIVE PHYSICAL THERAPY, INC. |
| Practice Address |
2424 Danville Rd. Sw, Ste M Decatur AL 35603 |
| Practice Telephone | 2563516048 |
| Practice Fax Number | 2563018980 |
| Mailing Telephone | 2563516048 |
| Mailing Fax Number | 2563018980 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MITCHELL C HAMRIC (PHYSICAL THERAPY) |
| Authorized Official Telephone | 2563516048 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
12722 | AL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144655192 | Active Physical Therapy, Inc. | Massage Therapist | 5551 Hilliard Rome Office Park, Hilliard, OH 43026-7287 | 2013-09-10 |
| 1245543297 | Active Physical Therapy, Inc. | Physical Therapist | 5551 Hilliard Rome Office Park, Hilliard, OH 43026-7287 | 2010-07-20 |
| Street Address |
2424 DANVILLE RD. SW, STE M |
| City | DECATUR |
| State | AL |
| Zip Code | 35603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| 1851474514 | Sidney Aaron Sawyer Jr. | Chiropractor | 2605 Danville Road, Decatur, AL 35603 | 2006-10-23 |
| Find all providers in zip 35603 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456019 | Atlanta Physical Therapy | Clinic/Center | 338 Hillcrest Ave Apt E, Decatur, GA 30030-2068 | 2018-08-07 |
| 1588115984 | Encore Rehab of Priceville | Clinic/Center | 1794 S Bethel Rd, Suite C, Decatur, AL 35603-5410 | 2016-10-20 |
| 1730635087 | Elite Physical Therapy and Wellness, Inc. | Clinic/Center | 135 7th St, Decatur, MS 39327 | 2016-08-28 |
| 1427451244 | Michael Henry Jr. | Clinic/Center | 4153 Flat Shoals Pkwy Building C, Suite 300 A, Decatur, GA 30034-4106 | 2014-10-07 |
| 1962841064 | Decatur Physical Therapy & Sports Medicine | Clinic/Center | 487 Winn Way Ste 201, Decatur, GA 30030-1728 | 2013-06-21 |
| 1437492725 | Agilitas Usa Inc | Clinic/Center | 1241 Pt Mallard Pkwy Ste 201, Decatur, AL 35601-6555 | 2013-04-04 |
| 1295922193 | Stay Strong Solution, LLC | Clinic/Center | 117 Running Bear Trail, Decatur, TX 76234 | 2007-09-25 |
| 1003819608 | Encore Rehabilitation, Inc | Clinic/Center | 251 Johnston St, Suite 300, Decatur, AL 35601-2515 | 2005-05-27 |
| 1871032243 | Peak Physical Therapy and Wellness | Clinic/Center | 216 Johnston St Se, Decatur, AL 35601-2516 | 2017-02-18 |
| 1750826475 | Carinity Therapy Services LLC | Clinic/Center | 1629 4th Ave Se, Suite 120 D, Decatur, AL 35601-4900 | 2017-01-04 |
| Find all providers in DECATUR | ||||
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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.