NPIMap

Organization Active NPI

Action Potential Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1396800587
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACTION POTENTIAL PHYSICAL THERAPY, INC.
Practice address
4080 Nelson Rd
Suite 500
Lake Charles, LA 70605-2439
Phone
(337) 494-7546
Fax
(337) 494-7548
NPI assigned
Dec 27, 2006
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Floyd Saltzman, P.T.NPI 1316972946
Title
President Physical Therapist
Phone
(337) 494-7546

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
Physical Therapy Clinic/Center 261QP2000X LA Primary

Addresses

Primary practice location

4080 Nelson Rd
Suite 500
Lake Charles, LA 70605-2439

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140417001421 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436381811 Receives reassigned benefits from 5 practitioners
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1396800587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 NELSON RD",
            "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 RD",
            "address_2": "SUITE 500",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052439",
            "telephone_number": "337-494-7546",
            "fax_number": "337-494-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION POTENTIAL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "SALTZMAN",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_title_or_position": "PRESIDENT        PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-494-7546",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 15, 2014; 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.