Active Life Physical Therapy and Wellness LLC
NPI 1205694742 · Orthopedic Physical Therapist · Edina, MN
Provider details
- NPI number
- 1205694742
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- John Bertucci, Managing Member/Owner(952) 232-5020
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Geriatric Physical Therapist2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sports Physical Therapist2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.