Activity First Physical Therapy and Sports Medicine
NPI 1124108782ActiveOrganization· Physical Therapist· Eatontown, NJ
Physical Therapist in Eatontown, New Jersey, registered in NPPES in October 2006. The authorized official on file is Kevin Luis Gonzalez, P.T., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124108782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2006 |
| Last updated in NPPES | Mar 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA00616100 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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