Provider profile · NPI 1720500010

Activekidz And Adult Therapy Services

Physical Therapist · Braselton, GA · NPI 1720500010 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Physical Therapist

Enumerated

Jul 9, 2017

License(s)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION1247 TUSCANY DRIVE SUITE CBraselton, GA 30517-3402770-207-6390
MAILING1045 OLD MILL TRCE Monroe, GA 30656-4379706-338-8058

View on NPPES registry ↗

Watch this provider

Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.