Action Therapy & Wellness Center, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ACTION THERAPY & WELLNESS CENTER, LLC

Practice address

211 E Worthy Road
BLDG IV
Gonzales, LA 70737

Phone

(255) 644-7044

Fax

(225) 644-4414

NPI assigned

Aug 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bridget Petrie

Title

Owner

Phone

(225) 644-7044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 7

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

• Hailey S Leindecker, PT, DPT

  • Physical Therapist
  • Gonzales, LA
  • NPI 1518422484
  Medicare reassignment Care Compare group NPD
• Suzanne Ulmer, LOTR, CHT

  • Occupational Therapist
  • Baton Rouge, LA
  • NPI 1154486231
  Medicare reassignment Care Compare group NPD
• Jamie Slater Canova, PT,DPT

  • Physical Therapist
  • Gonzales, LA
  • NPI 1760713762
  NPD
• Malcolm Michael Duplantis Jr, PT

  • Physical Therapist
  • Gonzales, LA
  • NPI 1285831271
  NPD
• Ayodeji O Famuyide, M.ED, PT, FAAOMPT

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1730230426
  NPD
• Taylor Nunez

  • Physical Therapy Assistant
  • Gonzales, LA
  • NPI 1568394054
  NPD (past)
• Luanne Elizabeth Roberson, LOTR, CHT

  • Hand Occupational Therapist
  • Gonzales, LA
  • NPI 1841280427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1083961577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E WORTHY ROAD",
            "address_2": "BLDG IV",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "255-644-7044",
            "fax_number": "225-644-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E WORTHY ROAD",
            "address_2": "BLDG IV",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "255-644-7044",
            "fax_number": "225-644-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION THERAPY & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-644-7044",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Niksad Abraham, MD
• Tellis Terrell Abram, LMSW
• Accent Optical, Inc.
• Access Granted Counseling and Consulting
• Edwin Frank Adams III, OD
• Jason D. Adams, M.D.
• Trineqa Adams
• Adult Medicine and Diagnostic Center
• Adult Medicine Institute & Diagnostic Center

• Multi-Specialty Clinic/Center in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.