NPIMap

Organization Active NPI

Action Physical Therapy, LLC

  • Physical Therapist
  • Davie, FL
National Provider Identifier
1972913895
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACTION PHYSICAL THERAPY, LLC
Practice address
5149 S University Dr
Davie, FL 33328-4507
Phone
(954) 900-8857
Fax
(954) 212-6364
NPI assigned
Apr 30, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. John Papa, D.C.NPI 1700808540
Title
Owner
Phone
(561) 801-2535

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5149 S University Dr
Davie, FL 33328-4507

Mailing address

4971 Le Chalet Blvd
100
Boynton Beach, FL 33436-1418
Phone (561) 733-5590

Other identifiers 1

IdentifierTypeStateIssuer
010117000MedicaidFL

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
Tax ID family
Action Physical Therapy LLC26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

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": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972913895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 LE CHALET BLVD",
            "address_2": "100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361418",
            "telephone_number": "561-733-5590",
            "fax_number": "561-740-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333284507",
            "telephone_number": "954-900-8857",
            "fax_number": "954-212-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-801-2535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010117000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.