OrganizationActive
Active Physical Therapy, Inc
NPI 1902978968 · Orthopedic Physical Therapist · Santa Maria, CA
Provider details
- NPI number
- 1902978968
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jordan Larson, Vice President(805) 934-0663
- License
- PT 21537 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1105 E Foster Rd Ste B
Santa Maria, CA 93455-6400
Phone: (805) 934-0663
Approximate (ZIP-level) locationGet directions
Mailing address
247 Santa Fe Ave
Pismo Beach, CA 93449-1948
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.