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

Active Physical Therapy and Wellness LLC

Organization Physical Therapist · NPI 1356091946

Active Physical Therapy and Wellness LLC is a Physical Therapist in Fort Wayne, Indiana. Registered with an NPI since 2022.

In the registry since
2022
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

1344 Jacobs Dr
Fort Wayne, IN 46814-8745
Phone: (574) 377-8779
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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 number1356091946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suman Panday — Sole Member · (574) 377-8779
NPI enumeratedMarch 25, 2022
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022
Mailing address1344 Jacobs Dr, Fort Wayne, IN 46814-8745

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