OrganizationActive
A Physical Therapy Alternative
NPI 1063600658 · Physical Therapist · Santa Monica, CA
Provider details
- NPI number
- 1063600658
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Noush Makki, Office Manager(310) 828-6584
- License
- PT15905 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1450 Cloverfield Blvd
Santa Monica, CA 90404-2943
Phone: (310) 828-6584
Fax: (310) 453-3373
Approximate (ZIP-level) locationGet directions
Mailing address
1450 Cloverfield Blvd
Santa Monica, CA 90404-2943
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2007-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.