Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Active Life & Sports Therapy LLC

Organization Physical Therapist · NPI 1396836052

Active Life & Sports Therapy LLC provides Physical Therapist services in Nottingham, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4337 Ebenezer Rd
Nottingham, MD 21236-2143
Phone: (410) 529-3303
Fax: (410) 529-7980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15366 (MD)

Record details

NPI number1396836052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Palmer — Owner, President · (410) 949-6639
NPI enumeratedSeptember 27, 2006
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address4337 Ebenezer Rd, Nottingham, MD 21236-2143

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