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Organization

ACTIV PHYSICAL THERAPY, LLC

Active
Other names
ACTIVPT, ACTIV, TEAM ACTIV
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD JOSEPH ASH PT, ATC, OCS, COMT (PRESIDENT)
(330) 659-4050
Entity
Organization

Contact information

Practice address
3667 BRECKSVILLE RD, RICHFIELD, OH 44286-9667
(330) 659-4050
(330) 659-4052
Mailing address
3667 BRECKSVILLE RD, RICHFIELD, OH 44286-9667
(330) 659-4050
(330) 659-4052

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-07745
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356491013
NPI-INDIVIDUAL
OH
01
PT-07745
OH PT LICENSE- EDWARD J.
OH
Enumeration date
04/18/2007
Last updated
02/24/2026
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