OrganizationActive
Activate Body Potential, Inc.
NPI 1225629215 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Baltimore, MD
Provider details
- NPI number
- 1225629215
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Ben Supik, President / Founder
Practice location
2010 Clipper Park Rd Ste 115
Baltimore, MD 21211-1439
Phone: (410) 235-5220
Mailing address
2010 Clipper Park Rd Ste 115
Baltimore, MD 21211-1439
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2021-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.