NPI 1902392988 · live from the CMS NPI Registry
Active 4 Life, PLLC
Physical Therapist in Sarasota, FL. National Provider Identifier 1902392988, active.
NPI record
| NPI | 1902392988 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2141 Siesta Dr, Sarasota, FL 34239 |
| Practice phone | 941-312-1591 |
| Enumerated | July 2, 2018 |
| Last updated | January 20, 2025 |
| Authorized official | Jennifer Regar, Owner |
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.