Individual provider Active NPI

Floyd Saltzman, PT

  • Physical Therapist
  • Lake Charles, LA
National Provider Identifier
1316972946
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01018 Issued in LA
Practice address
4080 Nelson Road
Suite 500
Lake Charles, LA 70605
Phone
(337) 494-7546
Fax
(337) 494-7548
NPI assigned
Jul 12, 2006
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT01018 LA Primary

Addresses

Primary practice location

4080 Nelson Road
Suite 500
Lake Charles, LA 70605

Mailing address

4080 Nelson Road
Suite 500
Lake Charles., LA 70605
Phone (337) 494-7546

Other identifiers 1

IdentifierTypeStateIssuer
1396800587OtherLANPI FOR CLINIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417001710 LA Practitioner - Physical Therapist in Private Practice 9234223074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Potential Physical Therapy IncGroup PAC ID 9436381811, 5 clinicians

Practice addresses (Care Compare)

190 Gloria Dr
Suite 100
Lake Charles, LA 70611-5043
Phone (337) 214-2930

2100 Oak Park Blvd
Lake Charles, LA 70601-7864
Phone (337) 310-5116

4080 Nelson Rd
Suite 500
Lake Charles, LA 70605-2440
Phone (337) 494-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT01018LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Potential Physical Therapy, Inc. Physical Therapist CurrentSince Apr 15, 2014 Accepting new patients
Action Potential Physical Therapy - Moss Bluff, LLC Past Accepting new patients
Primary Rehabilitation Services, Inc. PastSince Nov 1, 1999 Accepting new patients

Locations

2100 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 310-5116

4080 Nelson Rd
Ste 500
Lake Charles, LA 70605
Phone (337) 494-7546

190 Gloria Dr
#100
Lake Charles, LA 70611
Phone (337) 214-2930

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1316972946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 NELSON ROAD",
            "address_2": "SUITE 500",
            "city": "LAKE CHARLES.",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-494-7546",
            "fax_number": "337-494-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 NELSON ROAD",
            "address_2": "SUITE 500",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-494-7546",
            "fax_number": "337-494-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZMAN",
        "first_name": "FLOYD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT01018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR CLINIC",
            "identifier": "1396800587",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.