NPIMap

Organization Active NPI

Action Physical Therapy, LLC

  • Physical Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1881097640
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTION PHYSICAL THERAPY, LLC
Practice address
1680 SE Lyngate Dr Ste 203
Port Saint Lucie, FL 34952-4300
Phone
(772) 773-7055
NPI assigned
Oct 7, 2014
Last updated
Jul 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Dr. John Papa, DC
Title
Ceo
Phone
(561) 801-2535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1680 SE Lyngate Dr Ste 203
Port Saint Lucie, FL 34952-4300

Mailing address

11211 Prosperity Farms Rd
B-104
Palm Beach Gardens, FL 33410-3446
Phone (561) 537-4526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111107000769 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264610427 Receives reassigned benefits from 20 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plantation, FL; West Palm Beach, FL; Wellington, FL; Stuart, FL; Royal Palm Beach, FL; Pembroke Pines, FL; Palm Beach Gardens, FL; Miami, FL…

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory

Locations

2499 Glades Rd
Ste 210
Boca Raton, FL 33431
Phone (561) 513-8380

6600 Atlantic Ave
Ste 500
Delray Beach, FL 33446
Phone (561) 638-8821

6295 Lake Worth Rd
Ste 22
Greenacres, FL 33463
Phone (561) 318-7432

1001 Ives Dairy Rd
Ste 206
North Miami Beach, FL 33179
Phone (305) 760-5269

331 NE 167th St
North Miami Beach, FL 33162
Phone (305) 947-6300

1680 SE Lyngate Dr
Ste 203
Port St Lucie, FL 34952
Phone (772) 773-7055

1037 S State Road 7
Ste 111
Wellington, FL 33414
Phone (561) 736-7006

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1881097640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "B-104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-537-4526",
            "fax_number": "561-634-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SE LYNGATE DR STE 203",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-773-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-801-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.