Physical Therapist
ACTIVE 360 THERAPY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1174349575 · enumerated 2024-12-02 · record updated 2025-10-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CALISTA CHANA, CEO · (301) 776-8103
Addresses and phones
- Mailing address 6801 OAK HALL LN UNIT 6462, COLUMBIA, MD, 21045-7587 (301) 776-8103 Fax (410) 755-7797 Google Maps Apple Maps OpenStreetMap
- Practice location 6212 YORK RD, BALTIMORE, MD, 21212-2612 (301) 776-8103 Fax (410) 755-7797 Google Maps Apple Maps OpenStreetMap
Specialties
- Speech-Language Pathologist, 235Z00000X
- Home Health 251E00000X
- Social Worker 104100000X
- Occupational Therapist 225X00000X
- Registered Nurse, Home Health 163WH0200X
- Physical Therapist 225100000X · Primary
In this directory
Locations and evidence
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Practice location
BALTIMORE, MD, 212122612
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.