NPI 1598818262 · live from the CMS NPI Registry
Active Life Physical Therapy, LLC
Physical Therapist in Port Ludlow, WA. National Provider Identifier 1598818262, active.
NPI record
| NPI | 1598818262 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 9483 Oak Bay Rd, Port Ludlow, WA 98365 |
| Practice phone | 360-437-2444 |
| Enumerated | January 18, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Michael Haberpointner, Physical Therapist, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT00009409 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.