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NPI Code Detail

MEDICARE: ACTION PHYSICAL THERAPY, LLC

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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1447622139
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 :
City : BOYNTON BEACH
State : FL
Zip : 33436-1418
Country : US
Telephone Number : 561-733-5590
Fax Number :
Provider Business Practice Location Address
First Line : 1047 S STATE ROAD 7 STE 100
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-6135
Country : US
Telephone Number : 561-736-7006
Fax Number : 561-828-7710
Authorized Official
Title or Position : OWNER
Name : JOHN PAPA
Credential : DC
Telephone Number : 561-358-5397
Provider Enumeration Date : 10/21/2015
Last Update Date : 10/26/2018

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Directions to “ACTION PHYSICAL THERAPY, LLC ” Practice Location

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