MEDICARE: ACTION PHYSICAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1073805214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACTION PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	4971 LE CHALET BLVD
Second Line	:	SUITE 100
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1418
Country	:	US
Telephone Number	:	561-733-5590
Fax Number	:	561-740-0714

Provider Business Practice Location Address
First Line	:	4723 W ATLANTIC AVE STE 19
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3865
Country	:	US
Telephone Number	:	561-638-8821
Fax Number	:	561-638-8861

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN PAPA
Credential	:	D.C,
Telephone Number	:	561-801-2535

Provider Enumeration Date	:	05/06/2011
Last Update Date	:	01/18/2018

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Directions to “ACTION PHYSICAL THERAPY, LLC ” Practice Location

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