ACTIVE LIFE PHYSICAL THERAPY INC (NPI# 1316145709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316145709 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE PHYSICAL THERAPY INC |
| Practice Address |
955 Black Drive Prescott AZ 86305 |
| Mailing Address |
980 Willow Creek Rd #104 Prescott AZ 86301 |
| Practice Telephone | 9287782227 |
| Practice Fax Number | 9287719159 |
| Mailing Telephone | 9287782227 |
| Mailing Fax Number | 9287719159 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DAYNA WEARY (VICE PRESIDENT) |
| Authorized Official Telephone | 9287782227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
955 BLACK DRIVE |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1689036196 | Pool Therapy Plus, Pllc | Clinic/Center | 353 Cimarron Ct, Prescott, AZ 86301-1563 | 2016-03-23 |
| 1881850329 | Rocking Horses Pllc | Clinic/Center | 1250 W Kelly Dr, Prescott, AZ 86305-8628 | 2008-08-04 |
| 1891047346 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 3850 N Us Highway 89, Prescott, AZ 86301-8428 | 2012-10-09 |
| 1457671802 | Arches Ppt, LLC | Clinic/Center | 1320 W Iron Springs Rd, Prescott, AZ 86305-1414 | 2010-06-08 |
| 1700110988 | Southwestern Medical Centers Inc - Az | Clinic/Center | 864 Dougherty St, Prescott, AZ 86305-1841 | 2009-09-22 |
| 1083877070 | Svassama | Clinic/Center | 3101 Clearwater Dr, Suite D, Prescott, AZ 86305-7180 | 2008-07-09 |
| 1427117704 | Dht Hand Therapy Limited Partnership | Clinic/Center | 2001 Excellence Way, Suite 100, Prescott, AZ 86301-8409 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079523 | Trailhead Health & Rehab LLC | Clinic/Center | 1838 W Parkside Ln Ste 110, Phoenix, AZ 85027-1370 | 2020-09-24 |
| 1073129698 | Dynamic Performance and Recovery, LLC | Clinic/Center | 7800 E Pierce St, Scottsdale, AZ 85257-4606 | 2020-09-18 |
| 1073129821 | Epperson Physical Therapy Pllc | Clinic/Center | 5375 E Seven Palms Dr, Cave Creek, AZ 85331-2153 | 2020-09-17 |
| 1518572072 | A Wise Move Physical Therapy and Pilates, Pllc | Clinic/Center | 10130 N Oracle Rd Ste 120-130, Tucson, AZ 85704-7646 | 2020-09-11 |
| 1770110801 | Mobile Physical Therapy Pllc | Clinic/Center | 112 N Elden St, Flagstaff, AZ 86001-5295 | 2020-03-26 |
| 1518592351 | Foothills Sports Medicine & Physical Therapy - 91st Ave-olive | Clinic/Center | 9069 W Olive Ave Ste 105, Peoria, AZ 85345-9124 | 2020-03-11 |
| 1922644681 | Apexnetwork Wellton LLC | Clinic/Center | 28873 Commerce Way, Wellton, AZ 85356-7058 | 2019-11-18 |
| 1760025621 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1700 E Elliot Rd Ste 16, Tempe, AZ 85284-1650 | 2019-10-23 |
| 1649811498 | Urgentmed House Call LLC | Clinic/Center | 2224 W Clarendon Ave, Phoenix, AZ 85015-5435 | 2019-10-03 |
| 1750931267 | Life Clinic of Az PC | Clinic/Center | 2580 E Camelback Rd, Phoenix, AZ 85016-4204 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.