Organization Name: | ACTIVE THERAPY SERVICES LLC |
NPI Number: | 1245602267 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALAIN D MEJIA (PHYSICAL THERAPIST) |
Mailing Address: | 14320 Rotterdam Rd Fishers |
State: | IN US |
Postal Code: | 460376416 |
Phone Number: | 3174034160 |
Fax Number: | 3172884014 |
NPI Enumeration Date: | 10/29/2015 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05011411A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |