ACTIVITY FIRST PHYSICAL THERAPY AND SPORTS MEDICINE
NPI 1124108782
Physical Therapist in Eatontown, NJ

Active since October 17, 2006
158 WYCKOFF RD, EATONTOWN, NJ 07724(732) 544-0007(732) 544-0008 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Activity First Physical Therapy And Sports Medicine NPPES

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

ACTIVITY FIRST PHYSICAL THERAPY AND SPORTS MEDICINE (NPI 1124108782) is a healthcare organization registered as a physical therapist in Eatontown, New Jersey and active in the NPI registry since October 2006. The organization lists Kevin Luis Gonzalez, Owner, as its authorized official.

NPPES Registry Identity

NPI1124108782
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameACTIVITY FIRST PHYSICAL THERAPY AND SPORTS MEDICINE
Location Address158 WYCKOFF RDEatontown, NJ 07724-1840
Mailing Address158 Wyckoff RdEatontown, NJ 07724-1840 · (732) 544-0007 · Fax (732) 544-0008
Fax(732) 544-0008
Organization SubpartNo
Authorized OfficialKevin Luis GonzalezOwner · (732) 544-0007
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 11, 2014
✔ NPI 1124108782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NJ · 40QA00616100
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
158 WYCKOFF RD, Eatontown, NJ 07724

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Activity First Physical Therapy And Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20061031000253Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Activity First Physical Therapy And Sports Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1225068158
158 WYCKOFF RD
Eatontown, NJ 07724
(732) 544-0007
✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Activity First Physical Therapy And Sports Medicine's NPI number?

The NPI number for Activity First Physical Therapy And Sports Medicine is 1124108782. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Activity First Physical Therapy And Sports Medicine located?

Activity First Physical Therapy And Sports Medicine is located at 158 Wyckoff Rd, Eatontown, NJ 07724. The listed phone number is (732) 544-0007.

What is Activity First Physical Therapy And Sports Medicine's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Activity First Physical Therapy And Sports Medicine enrolled in Medicare?

Yes. Activity First Physical Therapy And Sports Medicine is registered in the Medicare PECOS enrollment system.

When is Activity First Physical Therapy And Sports Medicine's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Activity First Physical Therapy And Sports Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Activity First Physical Therapy And Sports Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Activity First Physical Therapy And Sports Medicine accept?

Health plans from Oscar Health list Activity First Physical Therapy And Sports Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Activity First Physical Therapy And Sports Medicine was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.