# ACTIVE CARE PHYSICAL THERAPY INC

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

## Provider details

- **NPI number:** 1801966031
- **Authorized official:** BRENT BRADLEY PT (PRESIDENT)
- **Authorized official phone:** (541) 390-7518

## Contact information

- **Practice address:** 18135 COTTONWOOD RD, SUNRIVER, OR 97707
- **Practice address phone:** (541) 390-7518
- **Practice address fax:** (541) 389-6272
- **Mailing address:** 1431 NW ITHACA AVE, BEND, OR 97701-2113
- **Mailing address phone:** (541) 390-7518
- **Mailing address fax:** (541) 389-6272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4629 | OR | — |
| 225100000X | Physical Therapist | 4661 | OR | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 10/18/2007