NPIMap

Organization Active NPI

Action Potential - Sports and Neurological Rehab, PLLC

  • Clinic/Center
  • Austin, TX
National Provider Identifier
1114531167
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ACTION POTENTIAL - SPORTS AND NEUROLOGICAL REHAB, PLLC
Practice address
5611 Mapleleaf Dr Unit a
Austin, TX 78723-2626
Phone
(253) 241-7803
NPI assigned
Sep 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Dr. Chase Davidson, DCNPI 1164052825
Title
Co-Founder
Phone
(253) 241-7803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5611 Mapleleaf Dr Unit a
Austin, TX 78723-2626

Mailing address

5611 Mapleleaf Dr Unit a
Austin, TX 78723-2626
Phone (253) 241-7803

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1114531167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 MAPLELEAF DR UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232626",
            "telephone_number": "253-241-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 MAPLELEAF DR UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232626",
            "telephone_number": "253-241-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION POTENTIAL - SPORTS AND NEUROLOGICAL REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-06",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "253-241-7803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.