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

Active Life Physical Therapy and Wellness LLC

Organization Geriatric Physical Therapist · NPI 1205694742

Active Life Physical Therapy and Wellness LLC is a Geriatric Physical Therapist in Edina, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5200 Willson Rd Ste 150
Edina, MN 55424-1300
Phone: (952) 232-5020
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X
Geriatric Physical Therapist Taxonomy 2251G0304X
Sports Physical Therapist Taxonomy 2251S0007X

Record details

NPI number1205694742
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Bertucci — Managing Member/Owner · (952) 232-5020
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing address5200 Willson Rd Ste 150, Edina, MN 55424-1300