Organization Active NPI

Action Rehab, Inc.

  • Physical Therapist
  • Lagrange, GA
National Provider Identifier
1417090929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004923 Issued in GA
Legal business name
ACTION REHAB, INC.
Practice address
300 W Broome St
Suite 102
Lagrange, GA 30240-3177
Phone
(706) 884-3111
Fax
(706) 882-7320
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Louis Kuerzi, P.T.NPI 1457342909
Title
President
Phone
(706) 594-6713

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 Therapist 225100000X 004923 GA Primary

Addresses

Primary practice location

300 W Broome St
Suite 102
Lagrange, GA 30240-3177

Mailing address

300 W Broome St
Suite 102
Lagrange, GA 30240-3177
Phone (706) 884-3111

National Provider Directory

National Provider Directory

Locations

300 W Broome St
Ste 102
Lagrange, GA 30240
Phone (706) 884-3111

Practitioners & affiliated clinicians

Practitioners 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417090929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROOME ST",
            "address_2": "SUITE 102",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403177",
            "telephone_number": "706-884-3111",
            "fax_number": "706-882-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROOME ST",
            "address_2": "SUITE 102",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403177",
            "telephone_number": "706-884-3111",
            "fax_number": "706-882-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUERZI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-594-6713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "004923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.