Active Pt Corp

LBN: Active Pt Corp
Active Pt Corp is an health care organization with primary practice located at 1215 N 7Th St Suite 104, Lake City MN 55041. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Active Pt Corp can be contacted via phone (507) 322-3460, or through Ward, Joan Marie via phone (800) 287-0171.

Contact Information

Primary practice address
1215 N 7Th St Suite 104 Lake City MN 55041
Phone: (507) 322-3460
Fax: (507) 322-3450
Website:
Map and Directions
Authorized official contact:
Name: Ward, Joan Marie MSPT
Phone: (800) 287-0171

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1124205604
LBN Legal business name Active Pt Corp
DBA Doing business as
Authorized official Ward, Joan Marie MSPT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2008
Last updated Mar 4th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124205604 NPPES
Minnesota MEDICAID 17549500

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