Active Physical Therapy and Wellness PC
Active Physical Therapy and Wellness PC is a healthcare organization registered as Physical Therapist in Flint, MI, holding Type 2 (organization) NPI 1205869880 since 2006. The authorized official on file is Ricky Bastarache, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205869880 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Active Physical Therapy and Wellness PC |
| Practice address | 5430 S SAGINAW RD, Flint, MI, 48507 |
| Phone | 8106941037 |
| Enumeration date | 2006-07-08 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Ricky Bastarache |
|---|---|
| Title | President |
| Phone | 8106941037 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | 5501007536 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4849415 | Medicaid | MI | — |
Copy-ready billing details
Provider: Active Physical Therapy and Wellness PC NPI: 1205869880 Taxonomy: 225100000X (Physical Therapist) Address: 5430 S SAGINAW RD, Flint, MI, 48507
Verify this record
Cross-check NPI 1205869880 against the authoritative CMS record: view Active Physical Therapy and Wellness PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Active Physical Therapy and Wellness PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.