OrganizationActive
Active Physical Therapy Services, LLC
NPI 1043892797 · Physical Therapy Clinic/Center · Frederick, MD
Provider details
- NPI number
- 1043892797
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terry Paul, Credential Coordinator(410) 970-8190
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
405 S Jefferson St Unit B
Frederick, MD 21701-6272
Phone: (301) 662-9335
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 419666
Boston, MA 02241-0966
Registry dates
- Enumerated
- 2021-04-22
- Last updated
- 2021-04-22
- Certified
- 2021-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.