# ACTIVE PHYSICAL THERAPY SERVICES, LLC

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

## Provider details

- **NPI number:** 1225217334
- **Authorized official:** THOMAS BRAY (DIRECTOR)
- **Authorized official phone:** (703) 239-2310

## Contact information

- **Practice address:** 14405 LAUREL PL, STE 102, LAUREL, MD 20707-6102
- **Practice address phone:** (301) 498-1604
- **Practice address fax:** (301) 498-1608
- **Mailing address:** PO BOX 419666, BOSTON, MA 02241-9666
- **Mailing address phone:** (410) 970-8190
- **Mailing address fax:** (410) 313-8314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 09/27/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8825 | CAREFIRST BCBS | MD |