OrganizationActive
Activa, LLC
NPI 1235421041 · Physical Therapist · Des Plaines, IL
Provider details
- NPI number
- 1235421041
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mark Paulson, President(773) 807-3517
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2720 S River Rd
Suite 18
Des Plaines, IL 60018-4106
Phone: (773) 807-3517
Fax: (847) 297-7970
Approximate (ZIP-level) locationGet directions
Mailing address
2720 S River Rd
Des Plaines, IL 60018-4106
Registry dates
- Enumerated
- 2011-05-11
- Last updated
- 2011-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.