Activa Rehabilitation Services LLC
NPI 1366796039ActiveOrganization· Physical Therapist· Orange, NJ
Physical Therapist in Orange, New Jersey, registered in NPPES in November 2012. The authorized official on file is Olufemi Dosunmu, PT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366796039 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2012 |
| Last updated in NPPES | Apr 14, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA00445900 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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