Organization · NPI-2

Activa, Lc

Physical Therapist · Cooper City, FL

NPI number1245234848

StatusActive

Last updated in NPPESApr 2, 2010

Details

NPI: 1245234848
Entity type: Organization (NPI-2)
Legal business name: Activa, Lc
Organization subpart: No
Enumeration date: Jun 10, 2005
Last updated: Apr 2, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	–	–	Yes
2251G0304X	Physical Therapist, Geriatrics	–	–
2251X0800X	Physical Therapist, Orthopedic	–	–
225200000X	Physical Therapy Assistant	–	–
225X00000X	Occupational Therapist	–	–
225XG0600X	Occupational Therapist, Gerontology	–	–
225XL0004X	Occupational Therapist, Low Vision	–	–
225XP0019X	Occupational Therapist, Physical Rehabilitation	–	–
225XP0200X	Occupational Therapist, Pediatrics	–	–

Practice location

9720 Stirling Rd
Suite 104
Cooper City, FL 33024-8014

Phone 954-374-0160 · Fax 954-374-0163

Mailing address

9720 Stirling Rd
Suite 104
Cooper City, FL 33024-8014

Phone 954-374-0160 · Fax 954-374-0163

Authorized official

Oscar G. Ferreira
Administrative Manager
9543740160

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.