OrganizationActive
On the Go, Home Physical Therapy Services, LLC
NPI 1164965679 · Home Health Agency · Davie, FL
Provider details
- NPI number
- 1164965679
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Irina Detata, Physical Therapist(954) 445-4745
- License
- PT20047 (FL)
Specialties & taxonomies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4331 Sw 73rd Ter
Davie, FL 33314-3030
Phone: (954) 445-4737
Street-level locationGet directions
Mailing address
Po Box 292711
Davie, FL 33329-2711
Registry dates
- Enumerated
- 2016-12-01
- Last updated
- 2016-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.