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

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: August 02, 2026.

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
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

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
5200 WILLSON RD STE 150
EDINA, MN 55424
Psychiatry & Neurology (Psychiatry)
5200 WILLSON RD STE 150
EDINA, MN 55424
Psychologist (Counseling)
5200 WILLSON RD STE 150
EDINA, MN 55424
Social Worker (Clinical)
5200 WILLSON RD STE 150
EDINA, MN 55424
Home Health
5200 WILLSON RD STE 150
EDINA, MN 55424
Psychologist
5200 WILLSON RD STE 150
EDINA, MN 55424
Social Worker (Clinical)
5200 WILLSON RD STE 150
EDINA, MN 55424
Marriage & Family Therapist
5200 WILLSON RD STE 150
EDINA, MN 55424

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.

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.