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

Active for Life Physical Therapy

Organization Physical Therapist · NPI 1407494990

Active for Life Physical Therapy is a Physical Therapist in Herndon, Virginia. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

511 Fillmore St
Herndon, VA 20170-3314
Phone: (703) 249-9757
Fax: (703) 520-5485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1407494990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maude Bertovich — Physical Therapist · (703) 597-4358
NPI enumeratedDecember 15, 2019
Last updated in NPPESDecember 15, 2019
Certification dateDecember 15, 2019
Mailing address511 Fillmore St, Herndon, VA 20170-3314

Other providers in Herndon