Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Activade LLC

Organization Physical Therapist · NPI 1003521089

Activade LLC is a Physical Therapist in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

809 Woodruff Pl
Charlotte, NC 28208-4553
Phone: (704) 839-2019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1003521089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Corcoran — Ceo · (704) 839-2019
NPI enumeratedJanuary 13, 2023
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing address809 Woodruff Pl, Charlotte, NC 28208-4553

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