NPI 1912714148 · live from the CMS NPI Registry
Active Rx LLC
Physical Therapist, Orthopedic in Manchaca, TX. National Provider Identifier 1912714148, active.
NPI record
| NPI | 1912714148 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Orthopedic 2251X0800X |
| Practice location | 12700 Lowden Ln Unit 4, Manchaca, TX 78652 |
| Practice phone | 512-387-1539 |
| Enumerated | December 11, 2024 |
| Last updated | January 6, 2025 |
| Authorized official | John Longoria, Owner/Physical Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Orthopedic primary | 2251X0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.