| Organization Name: | ACTIVITY FIRST PHYSICAL THERAPY AND SPORTS MEDICINE |
| NPI Number: | 1124108782 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN LUIS GONZALEZ (OWNER) |
| Mailing Address: | 158 Wyckoff Rd Eatontown |
| State: | NJ US |
| Postal Code: | 077241840 |
| Phone Number: | 7325440007 |
| Fax Number: | 7325440008 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 03/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00616100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |