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

Active Rehab Physical Therapy, Inc

Organization Physical Therapist · NPI 1104914878

Active Rehab Physical Therapy, Inc is a Physical Therapist in American Canyon, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3419 Broadway St Ste H-10
American Canyon, CA 94503-1261
Phone: (707) 648-3144
Fax: (707) 644-0630
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT27031 (CA)

Record details

NPI number1104914878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Scates — President/Ceo · (707) 648-3144
NPI enumeratedOctober 10, 2006
Last updated in NPPESAugust 29, 2014
Mailing address1933 Banyon Cmn, Livermore, CA 94550-4787

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