OrganizationActive
Active Outpatient Therapy LLC
NPI 1023476173 · Physical Therapy Clinic/Center · Madison Heights, MI
Provider details
- NPI number
- 1023476173
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Starvos Toma, President(248) 952-9052
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
520 E 12 Mile Rd
Suite - B
Madison Heights, MI 48071-2517
Phone: (248) 952-9052
Approximate (ZIP-level) locationGet directions
Mailing address
520 E 12 Mile Rd
Madison Heights, MI 48071-2517
Registry dates
- Enumerated
- 2016-02-04
- Last updated
- 2016-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.