OrganizationActive
Active Physical Therapy and Wellness LLC
NPI 1356091946 · Physical Therapist · Fort Wayne, IN
Provider details
- NPI number
- 1356091946
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Suman Panday, Sole Member
Mailing address
1344 Jacobs Dr
Fort Wayne, IN 46814-8745
Registry dates
- Enumerated
- 2022-03-25
- Last updated
- 2022-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.