# ACTIVE EDGE SPORTS PT AND CONDITIONING

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

## Provider details

- **NPI number:** 1134062862
- **Authorized official:** DR. BRIAN ROBERTSON PT, DPT, ATC (PHYSICAL THERAPIST)
- **Authorized official phone:** (973) 975-3077

## Contact information

- **Practice address:** 13 DENNIS HILL RD, BYRAM TOWNSHIP, NJ 07821-3630
- **Practice address phone:** (973) 975-3077
- **Mailing address:** 13 DENNIS HILL RD, BYRAM TOWNSHIP, NJ 07821-3630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2026
- **Last updated:** 04/09/2026