Activa Rehabilitation Services LLC

Public-record details

Address

331 Central Avenue, 1, Orange, NJ 07050

Phone

(973) 673-4600

Listed under

Physical therapist practices, Medicare-enrolled groups (CMS)

NPI

1366796039

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Physical Therapist (225100000X)

License number on NPI record

40QA00445900 (NJ)

Authorized official

Olufemi Dosunmu, PT, President

NPI first issued

Nov 2, 2012

Years since NPI first issued

14 years (since 2012)

License state on NPI record

NJ

NPI record last updated

Apr 14, 2015

Medicare group enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians as Activa Rehabilitation Services LLC

Clinicians in the Medicare group (all specialties, CMS)

2

Physical therapists in the group at this ZIP (CMS)

1

Group Medicare assignment (CMS)

May accept Medicare assignment (case by case)

Listings under this organization name (nationwide)

1 (single location)

NPI 1366796039 is active in the federal NPPES registry (CMS) with Physical Therapist as its self-reported primary taxonomy; license 40QA00445900 (NJ) is listed on the record. CMS Doctors & Clinicians lists a Medicare-enrolled group of physical therapists with this name at this ZIP. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Physical Therapy Index does not vet, employ, recommend or guarantee physical therapy clinics; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Physical Therapy Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Physical therapy is provided by licensed physical therapists (PT, DPT) and, under their supervision, physical therapist assistants (PTA). Confirm each therapist's license with the state physical therapy board.

View NPI 1366796039 in the official registry ↗