Active Physical Therapy, LLC
NPI 1982761391ActiveOrganization· Physical Therapist· Manasquan, NJ
Physical Therapist in Manasquan, New Jersey, registered in NPPES in January 2007. The authorized official on file is Travis Spader, MS,PT, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982761391 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | QA00936200 | 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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