ACTIVE LIFE PHYSICAL THERAPY AND WELLNESS LLC
NPI 1205694742
Physical Therapist - Orthopedic in Edina, MN

Q: What is Active Life Physical Therapy And Wellness LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Active since March 11, 2024

5200 WILLSON RD STE 150, EDINA, MN 55424(952) 232-5020 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Active Life Physical Therapy And Wellness Llc NPPES

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

ACTIVE LIFE PHYSICAL THERAPY AND WELLNESS LLC (NPI 1205694742) is a healthcare organization registered as an orthopedic in Edina, Minnesota and active in the NPI registry since March 2024. The organization lists John Bertucci, Managing Member/owner, as its authorized official.

NPPES Registry Identity

NPI1205694742

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameACTIVE LIFE PHYSICAL THERAPY AND WELLNESS LLC

Location Address5200 WILLSON RD STE 150Edina, MN 55424-1300

Mailing Address5200 Willson Rd Ste 150Edina, MN 55424-1300 · (952) 232-5020

Phone(952) 232-5020

Organization SubpartNo

Authorized OfficialJohn BertucciManaging Member/owner · (952) 232-5020

Enumeration DateMarch 11, 2024

Last NPPES UpdateMarch 15, 2024

NPPES CertifiedMarch 15, 2024

✔ NPI 1205694742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X

Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X

5200 WILLSON RD STE 150, Edina, MN 55424

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Life Physical Therapy And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Active Life Physical Therapy And Wellness LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kelly Sturm, DPT

Physical Therapist in Private Practice

NPI 1578901294

8901 AZTEC DR STE B
Eden Prairie, MN 55347

(612) 234-1811

✔ Accepts Medicare6.3 mi

John Bertucci, DPT

Physical Therapist in Private Practice

NPI 1588090534

1155 COUNTY ROAD E E
Vadnais Heights, MN 55110

(651) 770-0176

✔ Accepts Medicare18 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 Active Life Physical Therapy And Wellness LLC's NPI number?

The NPI number for Active Life Physical Therapy And Wellness LLC is 1205694742. It was assigned to this organization in the NPPES registry on March 11, 2024.

Where is Active Life Physical Therapy And Wellness LLC located?

Active Life Physical Therapy And Wellness LLC is located at 5200 Willson Rd Ste 150, Edina, MN 55424. The listed phone number is (952) 232-5020.

What is Active Life Physical Therapy And Wellness LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Active Life Physical Therapy And Wellness LLC enrolled in Medicare?

Yes. Active Life Physical Therapy And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Life Physical Therapy And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Active Life Physical Therapy And Wellness LLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Active Life Physical Therapy And Wellness LLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.