OrganizationActive
Active Life & Sports Therapy LLC
NPI 1396836052 · Physical Therapist · Nottingham, MD
Provider details
- NPI number
- 1396836052
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Joseph Palmer, Owner, President(410) 949-6639
- License
- 15366 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4337 Ebenezer Rd
Nottingham, MD 21236-2143
Phone: (410) 529-3303
Fax: (410) 529-7980
Approximate (ZIP-level) locationGet directions
Mailing address
4337 Ebenezer Rd
Nottingham, MD 21236-2143
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.