ACTIVE SPORTS PHYSICAL THERAPY PLLC
NPI 1053879353
Clinic/Center - Physical Therapy in Waco, TX

Active since March 05, 2019
331 W STATE HIGHWAY 6 STE G, WACO, TX 76710(254) 300-1941(254) 875-0472 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 5, 2022, Mar 5, 2019 (2 updates tracked since 2019).

About Active Sports Physical Therapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE SPORTS PHYSICAL THERAPY PLLC (NPI 1053879353) is a healthcare organization registered as a physical therapy in Waco, Texas and active in the NPI registry since March 2019. The organization lists Matthew Shane, Owner, as its authorized official.Information from the official NPPES registry record, last updated July 5, 2022.

NPPES Registry Identity

NPI1053879353
Entity TypeOrganization
Legal Business NameACTIVE SPORTS PHYSICAL THERAPY PLLC
Location Address331 W STATE HIGHWAY 6 STE GWaco, TX 76710-5584
Mailing Address331 W State Highway 6 Ste GWaco, TX 76710-5584 · (254) 300-1941 · Fax (254) 875-0472
Fax(254) 875-0472
Organization SubpartNo
Authorized OfficialMatthew ShaneOwner · (254) 300-1941
Enumeration DateMarch 5, 2019
Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
NPI 1053879353 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Clinic/Center · Physical Therapy

Taxonomy 261QP2000X · Ambulatory Health Care Facilities

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession… Show more

331 W STATE HIGHWAY 6 STE G, Waco, TX 76710

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Physical Therapy)
331 W STATE HIGHWAY 6 STE G
WACO, TX 76710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053879353, enumerated as an "organization" on March 05, 2019.

The provider is located at 331 W STATE HIGHWAY 6 STE G WACO, TX 76710 and the phone number is (254) 300-1941.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.