ACTIV PHYSICAL THERAPY (NPI# 1407072275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407072275 |
| Entity Type | Organization |
| Organization Name | ACTIV PHYSICAL THERAPY |
| Other Organization Name | ACTIVPT |
| Practice Address |
3807 Brecksville Rd #4 Richfield OH 44286-9166 |
| Practice Telephone | 3306594050 |
| Practice Fax Number | 3306594052 |
| Mailing Telephone | 3306594050 |
| Mailing Fax Number | 3306594052 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-12-16 |
| Authorized Official Name | EDWARD JOSEPH ASH (PRESIDENT) |
| Authorized Official Telephone | 3306594050 |
| Authorized Official Credential | PT, ATC, OCS, CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT-07745 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | NPI-INDIVIDUAL | 1356491013 | 01 |
| OH | OH PT LICENSE- EDWARD J. | PT-07745 | 01 |
| Other Name | Type Code |
|---|---|
| ACTIVPT | Other Name - Individual/Organization |
| Street Address |
3807 BRECKSVILLE RD #4 |
| City | RICHFIELD |
| State | OH |
| Zip Code | 44286-9166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356491013 | Edward Joseph Ash | Physical Therapist | 3807 Brecksville Rd, #4, Richfield, OH 44286-9166 | 2007-01-12 |
| 1427680123 | David John Ryland | Physical Therapist | 3807 Brecksville Rd, Richfield, OH 44286-9166 | 2020-02-10 |
| 1144680463 | Erich Nathan Funke | Physical Therapist | 3807 Brecksville Rd, Richfield, OH 44286-9166 | 2016-02-29 |
| 1396138111 | Scott Malik | Physical Therapist | 3807 Brecksville Rd, Richfield, OH 44286-9166 | 2015-03-18 |
| 1861664633 | Rebecca J Barnes | Dentist | 3807 Brecksville Rd, Suite 5, Richfield, OH 44286-9166 | 2008-04-01 |
| 1811179039 | Kimberly E Mull | Specialist | 3807 Brecksville Rd, Richfield, OH 44286-9166 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346640273 | Maria Charisse Reboudo | Homemaker | 2498 Donna Drive, Richfield, OH 44286 | 2014-08-28 |
| 1740691716 | Have Table Will Travel | Specialist/Technologist | 4792 W. Streetsboro Road, Richfield, OH 44286 | 2014-05-13 |
| 1003037995 | Daniel Richard Vanhorn | Physical Therapist | 4360 Brecksville Road, Richfield, OH 44286 | 2007-05-01 |
| 1053532648 | Frank James Patti | Physical Therapist | 4360 Brecksville Road, Richfield, OH 44286 | 2007-05-01 |
| 1104047042 | Sharon R Nolan | Physical Therapy Assistant | 4360 Brecksville Rd, Richfield, OH 44286 | 2007-05-01 |
| 1497239594 | Ryan James Graber | Specialist/Technologist | 4061 Olde Orchard Trl, Richfield, OH 44286-8901 | 2018-09-24 |
| 1881696557 | Carlos Antonio Perez | Internal Medicine | 3627 Chapelton Ct, Richfield, OH 44286-9005 | 2005-08-12 |
| 1316915473 | Tessmer and Associates, Inc. | Hearing Instrument Specialist | 4199 Kinross Lakes Pkwy, Suite 220, Richfield, OH 44286-9010 | 2006-03-14 |
| 1023525706 | Zachary Schaefer | Hearing Instrument Specialist | 4199 Kinross Lakes Pkwy, Richfield, OH 44286-9010 | 2018-01-04 |
| 1710113279 | Kathy L Mcgowan | Audiologist | 4199 Kinross Lakes Pkwy, Ste 220, Richfield, OH 44286-9010 | 2009-06-10 |
| Find all providers in zip 44286 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013514 | Dunamis Performance & Physio LLC | Clinic/Center | 115 Mountview Ct, Mount Sterling, OH 43143-1220 | 2020-11-02 |
| 1710592639 | Goal Physical Therapy and Wellness, LLC | Clinic/Center | 427 W Dussel Dr # 295, Maumee, OH 43537-4208 | 2020-09-09 |
| 1942813829 | Fit 4 Life Physical Therapy | Clinic/Center | 7575 Fredle Dr Ste B2, Concord Twp, OH 44077-9413 | 2020-08-28 |
| 1972113462 | Restorative Physical Therapy Co | Clinic/Center | 4770 Indianola Ave Ste 102, Columbus, OH 43214-1862 | 2020-08-09 |
| 1588273825 | Tremont Functional Rehab, LLC | Clinic/Center | 2401 Scranton Rd, Cleveland, OH 44113-4313 | 2020-07-22 |
| 1700402633 | Fusion Home Therapy LLC | Clinic/Center | 3556 Magnolia Dr, Seven Hills, OH 44131-5146 | 2020-06-16 |
| 1528680410 | Resilience Pelvic Physical Therapy and Wellness | Clinic/Center | 17 Pinewood Ln, Hudson, OH 44236-3467 | 2020-05-13 |
| 1023644432 | Bridge Pt, LLC | Clinic/Center | 3748 Sr-7, Optional, Chesapeake, OH 45619 | 2020-03-17 |
| 1518599786 | Meghan E Jackson | Clinic/Center | 781 Bayridge Blvd, Willowick, OH 44095-4241 | 2020-02-06 |
| 1760022735 | Physical Therapy 212, LLC | Clinic/Center | 10 N Market St Ste D, Troy, OH 45373-3281 | 2020-01-08 |
| 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.