Active Edge Sports PT and Conditioning
NPI 1134062862ActiveOrganization· Physical Therapist· Byram Township, NJ
Physical Therapist in Byram Township, New Jersey, registered in NPPES in April 2026. The authorized official on file is Brian Robertson, PT, DPT, ATC, Physical Therapist.
Overview
| NPI | 1134062862 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2026 |
| Last updated in NPPES | Apr 9, 2026 |
| Certified by provider | Apr 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|