NPIMap

Organization Active NPI

Action Potential, LLC

Doing business as Action Potential

  • Physical Therapy Clinic/Center
  • Glen Mills, PA
National Provider Identifier
1831478692
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
016638 Issued in PA
Legal business name
ACTION POTENTIAL, LLC
Doing business as
Action Potential
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
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Kristen Elizabeth Wilson, DPTNPI 1346528817
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

1786 Wilmington W Chester Pike
Ste 100A
Glen Mills, PA 19342
Phone (201) 424-9025

1786 Wilmington W Chester Pike
Ste 101A
Glen Mills, PA 19342

228 S Mill Rd
Ste 131
Kennett Square, PA 19348
Phone (484) 841-6154

201 Rock Lititz Blvd
Ste 11
Lititz, PA 17543

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, and the practitioner matching its NPPES authorized official.

View all 25

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.

Verify at the official NPI Registry.