Healthcare Provider Details

I. General information

NPI: 1043139009
Provider Name (Legal Business Name): ACTIVE PLUS PHYSICAL THERAPY II INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20820 GREENFIELD RD STE 208
OAK PARK MI
48237-3051
US

IV. Provider business mailing address

198 COUNTRY CLUB LN
CANTON MI
48188-3036
US

V. Phone/Fax

Practice location:
  • Phone: 734-306-2503
  • Fax: 888-496-5550
Mailing address:
  • Phone: 734-776-1786
  • Fax: 888-496-5550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KASHYAPKUMAR NAKUM
Title or Position: PRESIDENT
Credential: DPT
Phone: 734-776-1786