MEDICARE: ACTIVE REHABILITATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	1000347	TX

General Provider Information

NPI Number	:	1730190349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACTIVE REHABILITATION

Provider Business Mailing Address
First Line	:	1200 COIT RD
Second Line	:	SUITE 101A
City	:	PLANO
State	:	TX
Zip	:	75075-4750
Country	:	US
Telephone Number	:	972-964-6633
Fax Number	:	972-964-5227

Provider Business Practice Location Address
First Line	:	4040 N MACARTHUR BLVD
Second Line	:	SUITE 100
City	:	IRVING
State	:	TX
Zip	:	75038-6413
Country	:	US
Telephone Number	:	972-594-6633
Fax Number	:	972-595-8910

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	JANI LEE COLLINS
Credential	:	P.T.
Telephone Number	:	972-594-6633

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1285698191 — NICHOLAS F. LEBER, DDS, PC
Practice Location Address:

4030 N MACARTHUR BLVD , SUIT 100
IRVING, TX
75038-6413

Practice Phone: 972-717-0077
Practice Fax: 972-717-5363

1730118704 — RANDALLS FOOD & DRUGS LP
Practice Location Address:

4010 N MACARTHUR BLVD STE 100
IRVING, TX
75038-6413

Practice Phone: 972-650-2090
Practice Fax: 972-541-0284

1598883548 — DR. BYRON LYLE MITCHELL D.D.S.
Practice Location Address:

4040 N MACARTHUR BLVD , SUITE 206
IRVING, TX
75038-6413

Practice Phone: 972-717-1100
Practice Fax: 972-717-1113

1578743514 — DFW SURGERY CENTER, PA
Practice Location Address:

4040 N MACARTHUR BLVD
IRVING, TX
75038-6413

Practice Phone: 214-217-4666
Practice Fax: 214-317-4667

1649450511 — PAIN MANAGEMENT HOLDINGS, PA
Practice Location Address:

4040 N MACARTHUR BLVD
IRVING, TX
75038-6413

Practice Phone: 214-317-4666
Practice Fax: 214-317-4667

1447413745 — SPLITTING THE ATOM ENTERPRISES, INC
Practice Location Address:

4040 N MACARTHUR BLVD , ST 100
IRVING, TX
75038-6413

Practice Phone: 214-317-4666
Practice Fax: 214-317-4667

Directions to “ACTIVE REHABILITATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.