Active Physical Therapy PLC
NPI 1700104841ActiveOrganization· Physical Therapist· Traverse City, MI
Physical Therapist in Traverse City, Michigan, registered in NPPES in May 2010. The authorized official on file is Tania M. Santos, PT, Member. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1700104841 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2010 |
| Last updated in NPPES | Jan 14, 2022 |
| Certified by provider | Jan 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501009009 | MI |
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 (MI) |
|---|
Other Physical Therapist providers in Traverse City
- 1326391137
- 1750661542
- 1952635302
- 1649480674
- 1396596250
- 1215128939
- 1851172977
- 1801536768
- 1174026561
- 1861164378
- 1942531967
- 1023970639