Healthcare Provider Details

I. General information

NPI: 1073459913
Provider Name (Legal Business Name): ACTION POTENTIAL PHYSICAL THERAPY - OAK PARK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 OAK PARK BLVD
LAKE CHARLES LA
70601-7864
US

IV. Provider business mailing address

4080 NELSON RD STE 500
LAKE CHARLES LA
70605-2440
US

V. Phone/Fax

Practice location:
  • Phone: 337-310-5116
  • Fax: 337-310-5118
Mailing address:
  • Phone: 337-494-7546
  • Fax: 337-494-7548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FLOYD SALTZMAN III
Title or Position: OWNER
Credential: PT
Phone: 337-494-7546