ACTIVE REHAB, LLC (NPI# 1508383324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508383324 |
| Entity Type | Organization |
| Organization Name | ACTIVE REHAB, LLC |
| Practice Address |
2520 Horseshoe Dr Santa Rosa CA 95405-8144 |
| Practice Telephone | 9257850872 |
| Mailing Telephone | 19257850872 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Authorized Official Name | CAROLINE VIDENA (ADMINISTRATOR) |
| Authorized Official Telephone | 9257850872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 38866 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2520 HORSESHOE DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209322 | Benjamin Robert Baumgardner | Physical Therapist | 5524 Marit Dr, Santa Rosa, CA 95409-3829 | 2020-03-03 |
| 1477100899 | Kendal Kagawa | Physical Therapist | 3975 Old Redwood Hwy Ste 154, Santa Rosa, CA 95403-1719 | 2019-08-20 |
| 1184285991 | David Simmons | Physical Therapist | 3975 Old Redwood Hwy Ste 152, Santa Rosa, CA 95403-1719 | 2019-06-23 |
| 1891268207 | Ronald Charles Mcdowell | Physical Therapist | 503 Benicia Dr, Santa Rosa, CA 95409-3005 | 2019-01-08 |
| 1285105106 | Thad Summary | Physical Therapist | 2054 Marble St, Santa Rosa, CA 95407-5446 | 2018-12-17 |
| 1326548322 | Katherine E Cerico | Physical Therapist | 1972 Historic Route 66, Santa Rosa, NM 88435 | 2018-02-15 |
| 1659822583 | Elisabeth Friedeman | Physical Therapist | 1121 Slater St, Santa Rosa, CA 95404-3328 | 2016-10-14 |
| 1831561349 | Kumaraguru Kareesan | Physical Therapist | 3857 Montgomery Dr, Santa Rosa, CA 95405-5244 | 2015-10-22 |
| 1669848016 | William Andrew Kesler | Physical Therapist | 140 Wikiup Dr, Santa Rosa, CA 95403-7756 | 2015-08-19 |
| 1629457668 | Gloria Rita Fahy | Physical Therapist | 625 King St, Santa Rosa, CA 95404-3817 | 2015-05-22 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.