Organization · NPI-2

Active Alliance Physical Therapy LLC

Physical Therapist · Greenville, SC

NPI number1295467389
StatusActive
Last updated in NPPESOct 13, 2025

Details

NPI
1295467389
Entity type
Organization (NPI-2)
Legal business name
Active Alliance Physical Therapy LLC
Organization subpart
No
Enumeration date
Jun 27, 2022
Certification date
Oct 13, 2025
Last updated
Oct 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

355 Woodruff Rd Ste 203
Greenville, SC 29607-3494

Phone 864-354-8005 · Fax 864-712-9270

Mailing address

355 Woodruff Rd Ste 203
Greenville, SC 29607-3494

Phone 864-354-8005 · Fax 864-712-9270

Authorized official

Grant Allen Banks
Owner
8642371092

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