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

Active Sports Physical Therapy PLLC

Organization Physical Therapy Clinic/Center · NPI 1053879353

Active Sports Physical Therapy PLLC is a Physical Therapy Clinic/Center in Waco, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

331 W State Highway 6 Ste G
Waco, TX 76710-5584
Phone: (254) 300-1941
Fax: (254) 875-0472
Show map & directions

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

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1053879353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Shane — Owner · (254) 300-1941
NPI enumeratedMarch 5, 2019
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022
Mailing address331 W State Highway 6 Ste G, Waco, TX 76710-5584

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