Active Life Physical Therapy, Inc.
NPI 1225330616ActiveOrganization· Physical Therapist· Los Angeles, CA
Physical Therapist in Los Angeles, California, registered in NPPES in November 2010. The authorized official on file is Stephen Jason Wilkins, DPT, President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1225330616 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2010 |
| Last updated in NPPES | Feb 27, 2025 |
| Certified by provider | Feb 27, 2025 |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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