Provider Demographics
NPI:1962668764
Name:ACTIVERX, INC.
Entity Type:Organization
Organization Name:ACTIVERX, INC.
Other - Org Name:ACTIVE RX PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:D
Authorized Official - Last Name:ESSEX
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:602-741-6739
Mailing Address - Street 1:3370 N HAYDEN RD # 123-505
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6632
Mailing Address - Country:US
Mailing Address - Phone:480-304-5510
Mailing Address - Fax:480-704-4763
Practice Address - Street 1:10165 N 92ND ST STE 103
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4558
Practice Address - Country:US
Practice Address - Phone:480-304-5656
Practice Address - Fax:480-704-4763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5696225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty