ACTIVE PHYSICAL THERAPY, INC
NPI 1902978968
Physical Therapist - Orthopedic in Santa Maria, CA

Active since November 14, 2006
1105 E FOSTER RD STE B, SANTA MARIA, CA 93455(805) 934-0663 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Active Physical Therapy, Inc NPPES

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

ACTIVE PHYSICAL THERAPY, INC (NPI 1902978968) is a healthcare organization registered as an orthopedic in Santa Maria, California and active in the NPI registry since November 2006. The organization lists Jordan Albright Larson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1902978968
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameACTIVE PHYSICAL THERAPY, INC
Location Address1105 E FOSTER RD STE BSanta Maria, CA 93455-6400
Mailing Address247 Santa Fe AvePismo Beach, CA 93449-1948
Organization SubpartNo
Authorized OfficialJordan Albright LarsonVice President · (805) 934-0663
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902978968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · PT 21537
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.
1105 E FOSTER RD STE B, Santa Maria, CA 93455

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

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)

Active Physical Therapy, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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
StateCaliforniaEnrollment IDO20041207001234Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Active Physical Therapy, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Physical Therapist in Private Practice
NPI 1740352392
1105 E FOSTER RD STE B
Santa Maria, CA 93455
(805) 934-0663
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1790533040
5075 S BRADLEY RD STE 121
Santa Maria, CA 93455
(805) 934-0663
✔ Accepts Medicare1.3 mi
Physical Therapist in Private Practice
NPI 1124108071
880 OAK PARK BLVD SUITE 202
Arroyo Grande, CA 93420
(805) 473-7499
✔ Accepts Medicare20 mi
Physical Therapist in Private Practice
NPI 1639162423
1422 MONTEREY ST SUITE C-102
San Luis Obispo, CA 93401
(805) 543-5100
31 mi
Physical Therapist in Private Practice
NPI 1891897641
10800 COLORADO RD
Atascadero, CA 93422
(805) 980-8487
✔ Accepts Medicare41 mi
Physical Therapist in Private Practice
NPI 1730567983
2145 THE ALAMEDA
San Jose, CA 95126
(408) 248-6886
✔ Accepts Medicare190 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 Physical Therapy, Inc's NPI number?

The NPI number for Active Physical Therapy, Inc is 1902978968. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Active Physical Therapy, Inc located?

Active Physical Therapy, Inc is located at 1105 E Foster Rd Ste B, Santa Maria, CA 93455. The listed phone number is (805) 934-0663.

What is Active Physical Therapy, Inc's specialty?

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

Is Active Physical Therapy, Inc enrolled in Medicare?

Yes. Active Physical Therapy, Inc is registered in the Medicare PECOS enrollment system.

When is Active Physical Therapy, Inc'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 (California, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by January 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 Active Physical Therapy, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Active Physical Therapy, Inc. 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 at this address and 2 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 Physical Therapy, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.