| Organization Name: | ACTIVE REHAB PHYSICAL THERAPY, INC. |
| NPI Number: | 1104914878 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL B. SCATES (PRESIDENT/CEO) |
| Mailing Address: | 3419 Broadway St Suite H-10 American Canyon |
| State: | CA US |
| Postal Code: | 945031261 |
| Phone Number: | 7076483144 |
| Fax Number: | 7076440630 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 08/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT27031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |