Active Life & Sports Therapy LLC
NPI 1396836052 · Physical Therapist · Nottingham, MD
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Life & Sports Therapy LLC is a Physical Therapist organization in Nottingham, MD (NPI 1396836052).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is Active Life & Sports Therapy LLC's NPI number?
- Active Life & Sports Therapy LLC's National Provider Identifier (NPI) is 1396836052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Life & Sports Therapy LLC?
- Active Life & Sports Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Active Life & Sports Therapy LLC located?
- Active Life & Sports Therapy LLC's practice location on file with NPPES is 4337 Ebenezer Rd, Nottingham, MD 21236-2143.
- What is Active Life & Sports Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Life & Sports Therapy LLC is (410) 529-3303.
- Does Active Life & Sports Therapy LLC accept Medicare?
- Active Life & Sports Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Active Life & Sports Therapy LLC?
- The authorized official listed on Active Life & Sports Therapy LLC's NPPES record is Joseph Palmer, Owner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Life & Sports Therapy LLC's NPI active?
- Yes — Active Life & Sports Therapy LLC's NPI (1396836052) is active in the NPPES registry as of the last update on 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.