Organization
ACTIVE RECOVERY PHYSICAL THERAPY & SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA NOWKA (OWNER, AT, PTA)
(989) 996-1098
Entity
Organization
Contact information
Practice address
250 S LAKE ST STE E, EAST JORDAN, MI 49727-9376
(231) 222-2121
Mailing address
250 S LAKE ST STE E, EAST JORDAN, MI 49727-9376
(231) 222-2121
(231) 222-2009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
07/27/2020
Last updated
10/15/2020
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