# ACTIVE REHAB PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104914878
- **Authorized official:** DR. MICHAEL B. SCATES PT, MS, DPT (PRESIDENT/CEO)
- **Authorized official phone:** (707) 648-3144

## Contact information

- **Practice address:** 3419 BROADWAY ST, SUITE H-10, AMERICAN CANYON, CA 94503-1261
- **Practice address phone:** (707) 648-3144
- **Practice address fax:** (707) 644-0630
- **Mailing address:** 1933 BANYON CMN, LIVERMORE, CA 94550-4787
- **Mailing address phone:** (707) 648-3144
- **Mailing address fax:** (707) 644-0630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT27031 | CA | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 08/29/2014