FOREVER ACTIVE PHYSICAL THERAPY LLC
NPI 1316662364
Clinic/Center - Physical Therapy in Palm Coast, FL
About Forever Active Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOREVER ACTIVE PHYSICAL THERAPY LLC (NPI 1316662364) is a healthcare organization registered as a physical therapy in Palm Coast, Florida and active in the NPI registry since October 2022. The organization lists Bradley Puglisi, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Forever Active Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Forever Active Physical Therapy LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Forever Active Physical Therapy LLC's NPI number?
The NPI number for Forever Active Physical Therapy LLC is 1316662364. It was assigned to this organization in the NPPES registry on October 11, 2022.
Where is Forever Active Physical Therapy LLC located?
Forever Active Physical Therapy LLC is located at 10 Ridge Rd, Palm Coast, FL 32137. The listed phone number is (732) 575-3275.
What is Forever Active Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Forever Active Physical Therapy LLC enrolled in Medicare?
Yes. Forever Active Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Forever Active Physical Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Forever Active Physical Therapy 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Forever Active Physical Therapy LLC was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.