Active NPI
Action Potential, LLC
- Physical Therapy Clinic/Center
- Glen Mills, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 016638
- Legal business name
- ACTION POTENTIAL, LLC
- Practice address
- 1786 Wilmington W Chester Pike Ste 200a
Glen Mills, PA 19342-8198 - Phone
- (484) 841-6154
- Fax
- (484) 841-6174
- NPI assigned
- Aug 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Elizabeth Wilson, DPT
- Title
- Co-President
- Phone
- (610) 324-3073
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 016638 | PA | Primary |
Addresses
Primary practice location
1786 Wilmington W Chester Pike Ste 200a
Glen Mills, PA 19342-8198
Mailing address
1786 Wilmington W Chester Pike Ste 200a
Glen Mills, PA 19342-8198
Phone (484) 841-6154
Other names 1
- Action Potential
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150729007141 | PA | Part B Supplier - Clinic/Group Practice | 1850605312 |
Receives reassigned benefits from 22 practitioners Practice locations: Glen Mills, PA; Kennett Square, PA; Lititz, PA; Media, PA |
National Provider Directory
National Provider DirectoryLocations
1786 Wilmington W Chester Pike
Ste 200A
Glen Mills, PA 19342
Phone (484) 259-0017
1786 Wilmington W Chester Pike
Ste 101A
Glen Mills, PA 19342
1786 Wilmington W Chester Pike
Ste 100A
Glen Mills, PA 19342
Phone (201) 424-9025
228 S Mill Rd
Ste 131
Kennett Square, PA 19348
Phone (484) 841-6154
222 Touring Blvd
Lititz, PA 17543
Phone (484) 841-6154
100 W Sixth St
Ste 100
Media, PA 19063
Phone (484) 841-6154
Practitioners & affiliated clinicians
Practitioners 25
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": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1831478692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1786 WILMINGTON W CHESTER PIKE STE 200A",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193428198",
"telephone_number": "484-841-6154",
"fax_number": "484-841-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1786 WILMINGTON W CHESTER PIKE STE 200A",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193428198",
"telephone_number": "484-841-6154",
"fax_number": "484-841-6174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTION POTENTIAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-11",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "CO-PRESIDENT",
"authorized_official_telephone_number": "610-324-3073",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PA",
"license": "016638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Action Potential",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.