OrganizationActive
Active Sports Physical Therapy PLLC
NPI 1053879353 · Physical Therapy Clinic/Center · Waco, TX
Provider details
- NPI number
- 1053879353
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Matthew Shane, Owner
Practice location
331 W State Highway 6 Ste G
Waco, TX 76710-5584
Phone: (254) 300-1941
Fax: (254) 875-0472
Mailing address
331 W State Highway 6 Ste G
Waco, TX 76710-5584
Registry dates
- Enumerated
- 2019-03-05
- Last updated
- 2022-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.