NPI 1457797557 · live from the CMS NPI Registry
Active Health Care, PA
Physical Therapist in Jacksonville, FL. National Provider Identifier 1457797557, active.
NPI record
| NPI | 1457797557 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 6500 Bowden Rd, 200, Jacksonville, FL 32216 |
| Practice phone | 904-296-0202 |
| Enumerated | May 15, 2013 |
| Last updated | October 8, 2015 |
| Authorized official | Jeffrey Lipp, Owner |
| Other names | Active Chiropractic Medicine And Soft Tissue, P.A. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.