Active Therapy Management LLC

Assisted Living Facility · Henderson, TX

Organization Active NPI

NPI number 1376416875

Practice location

1905 Old Nacogdoches Rd
Henderson, TX 75654-4630
Phone
(903) 657-1563

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NPI record

NPI
1376416875
Entity type
Organization (Type 2)
Enumeration date
September 29, 2025
Last updated
September 29, 2025
Certified
September 29, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X — —

Mailing address

1918 E Front St
Tyler, TX 75702-8511

Authorized official

Name
Ashok Gupta, PT
Title
CEO
Phone
(954) 702-3000

Other names

  • Pine Lodge Assisted Living

About Active Therapy Management LLC

Active Therapy Management LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 1905 Old Nacogdoches Rd, Henderson, TX 75654-4630. The NPI number 1376416875 was assigned on September 29, 2025 and the record was last updated on September 29, 2025.

The authorized official for this organization is Ashok Gupta, PT, CEO.

Frequently asked questions

What is the NPI number of Active Therapy Management LLC?

The NPI number is 1376416875.

What is the phone number of Active Therapy Management LLC?

The phone number listed for the practice location is (903) 657-1563.

Where is Active Therapy Management LLC located?

1905 Old Nacogdoches Rd, Henderson, TX 75654-4630.

What is the taxonomy code for Active Therapy Management LLC?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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