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

Active Rehab, LLC

Organization Physical Therapist · NPI 1508383324

Active Rehab, LLC is a Physical Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
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

2520 Horseshoe Dr
Santa Rosa, CA 95405-8144
Phone: (925) 785-0872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 38866 (CA)

Record details

NPI number1508383324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caroline Videna — Administrator · (925) 785-0872
NPI enumeratedAugust 23, 2017
Last updated in NPPESAugust 23, 2017
Mailing address2520 Horseshoe Dr, Santa Rosa, CA 95405-8144

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