OrganizationActive
Advanced Therapy and Performance LLC
NPI 1235592247 · Physical Medicine & Rehabilitation Physician · Stamford, CT
Provider details
- NPI number
- 1235592247
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Joshua Heenan, President
Mailing address
75 Selleck Street
Stamford, CT 06902
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2016-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.