OrganizationActive
Activade LLC
NPI 1003521089 · Physical Therapist · Charlotte, NC
Provider details
- NPI number
- 1003521089
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Kenneth Corcoran, Ceo
Mailing address
809 Woodruff Pl
Charlotte, NC 28208-4553
Registry dates
- Enumerated
- 2023-01-13
- Last updated
- 2023-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.