OrganizationActive
Activity First Physical Therapy and Sports Medicine
NPI 1124108782 · Physical Therapist · Eatontown, NJ
Provider details
- NPI number
- 1124108782
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Gonzalez, Owner(732) 544-0007
- License
- 40QA00616100 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
158 Wyckoff Rd
Eatontown, NJ 07724-1840
Phone: (732) 544-0007
Fax: (732) 544-0008
Approximate (ZIP-level) locationGet directions
Mailing address
158 Wyckoff Rd
Eatontown, NJ 07724-1840
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2014-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.