Action Potential RLLP

Organization Active NPI Physical Therapist · Colorado Springs, CO

NPI 1013961770 · NPPES record last updated Nov 18, 2020

Key facts

NPI
1013961770
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
ACTION POTENTIAL RLLP
Practice address
1612 E Pikes Peak Ave
Colorado Springs, CO 80909-5619
Phone
(719) 630-3193
Fax
(719) 235-5983
NPI assigned
May 19, 2006
Organization subpart
No

Authorized official

Name
Robert Pace
Title
Owner
Phone
(213) 804-1712

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081118000471 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719976703 Receives reassigned benefits from 41 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO

National Provider Directory

Tax ID family
Action Potential (5 organizations share this tax ID)

Locations

4328 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 475-0808

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

1612 E Pikes Peak Ave
Colorado Springs, CO 80909-5619

Mailing address

2035 Corte del Nogal Ste 200
Carlsbad, CA 92011-1445

Other names

  • Action Potential Doing business as

Other providers in Colorado Springs, CO

All providers in Colorado Springs, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.