Organization
ACTIVA REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUFEMI DOSUNMU PT (PRESIDENT)
(973) 214-2315
Entity
Organization
Contact information
Practice address
331 CENTRAL AVENUE, 1, ORANGE, NJ 07050-2407
(973) 673-4600
(973) 673-4606
Mailing address
336 PARK AVE, ORANGE, NJ 07050-2827
(973) 673-4600
(973) 673-4606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00445900
NJ
Other
Enumeration date
11/02/2012
Last updated
04/14/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up