NPI 1245234848 · live from the CMS NPI Registry
Activa, Lc
Physical Therapist in Cooper City, FL. National Provider Identifier 1245234848, active.
NPI record
| NPI | 1245234848 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 9720 Stirling Rd, Suite 104, Cooper City, FL 33024 |
| Practice phone | 954-374-0160 |
| Enumerated | June 10, 2005 |
| Last updated | April 2, 2010 |
| Authorized official | Oscar Ferreira, Administrative Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Geriatrics | 2251G0304X | — |
| Physical Therapist, Orthopedic | 2251X0800X | — |
| Physical Therapy Assistant | 225200000X | — |
| Occupational Therapist | 225X00000X | — |
| Occupational Therapist, Gerontology | 225XG0600X | — |
| Occupational Therapist, Low Vision | 225XL0004X | — |
| Occupational Therapist, Physical Rehabilitation | 225XP0019X | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.