# ACTIVE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1982761391
- **Authorized official:** TRAVIS SPADER MS,PT (DIRECTOR)
- **Authorized official phone:** (732) 223-6309

## Contact information

- **Practice address:** 2516 HIGHWAY 35, MANASQUAN, NJ 08736-1925
- **Practice address phone:** (732) 223-6309
- **Practice address fax:** (732) 223-6409
- **Mailing address:** 2516 HIGHWAY 35, MANASQUAN, NJ 08736-1925
- **Mailing address phone:** (732) 223-6309
- **Mailing address fax:** (732) 223-6409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | QA00936200 | NJ | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020