ACTIVE DEVELOPMENT THERAPIES LLC NPI 1417967944

NPI Information

  • NPI: 1417967944
  • Provider Name: ACTIVE DEVELOPMENT THERAPIES, LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 23435 FM 1314 RD STE C6
    PORTER, TX
    ZIP 77365
  • Phone: (281) 354-3383

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NPI Details

ACTIVE DEVELOPMENT THERAPIES, LLC is a rehabilitation clinic center in Porter, TX. ACTIVE DEVELOPMENT THERAPIES, LLC NPI is 1417967944. The provider is registered as an organization entity type.

The provider's business location address is:

23435 FM 1314 RD STE C6
PORTER, TX
ZIP 77365-738
Phone: (281) 354-3383
Fax: (281) 354-6750

The provider's authorized official is Kimberlyn Delane Loving .
The authorized official title is President/ Director Of Habilitation and has the following contact phone number (281) 354-3383.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 6/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes
2261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1173277801MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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