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NPI 1225217334 · live from the CMS NPI Registry

Active Physical Therapy Services, LLC

Physical Therapist in Laurel, MD. National Provider Identifier 1225217334, active.

NPI record

NPI1225217334 Type 2 · organization
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice location14405 Laurel Pl, Ste 102, Laurel, MD 20707
Practice phone301-498-1604
Mailing addressPo Box 419666, Boston, MA 02241
EnumeratedOctober 25, 2007
Last updatedSeptember 27, 2022
Authorized officialThomas Bray, Director

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor111N00000X—
Occupational Therapist225X00000X—
Physical Therapist primary225100000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.