NPI 1962384586 · live from the CMS NPI Registry
Active Living PT & Wellness LLC
Physical Therapist in Phoenix, AZ. National Provider Identifier 1962384586, active.
NPI record
| NPI | 1962384586 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 353 W Southern Hills Rd, Phoenix, AZ 85023 |
| Practice phone | 509-280-4744 |
| Enumerated | July 24, 2025 |
| Last updated | July 24, 2025 |
| Authorized official | Jacob Sprute, Owner/Physical Therapist |
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.