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1912843855 NPI number — ACTION POTENTIAL PHYSICAL THERAPY - MOSS BLUFF, LLC

NPI Number: 1912843855
Health Care Provider/Practitioner: ACTION POTENTIAL PHYSICAL THERAPY - MOSS BLUFF, LLC

Information about “1912843855” NPI (ACTION POTENTIAL PHYSICAL THERAPY - MOSS BLUFF, LLC) exists in 1912843855 in HTML format HTML  |  1912843855 in plain Text format TXT  |  1912843855 in PDF (Portable Document Format) PDF  |  1912843855 in an XML format XML  formats.

NPI Number : 1912843855 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912843855",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ACTION POTENTIAL PHYSICAL THERAPY - MOSS BLUFF, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4080 NELSON RD STE 500",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE CHARLES",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70605-2440",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "337-494-7546",
    "MailingAddressFaxNumber": "337-494-7548",
    "FirstLinePracticeLocationAddress": "190 GLORIA DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE CHARLES",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70611-5043",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "337-214-2930",
    "PracticeLocationAddressFaxNumber": "337-226-3863",
    "EnumerationDate": "04/24/2026",
    "LastUpdateDate": "04/24/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SALTZMAN",
    "AuthorizedOfficialFirstName": "FLOYD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": "III",
    "AuthorizedOfficialCredential": "PT",
    "AuthorizedOfficialTelephoneNumber": "337-494-7546",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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