Advanced Ortho Rehab, P.A.
NPI 1679766711 · Chiropractor · Lake Charles, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Ortho Rehab, P.A. is a Chiropractor organization in Lake Charles, LA (NPI 1679766711).
Provider details
- NPI number
- 1679766711
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Samuel Liscum, Proprietor(337) 439-7007
- License
- 1563 (LA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Human Performance: a Wellness & Rehab Center
Registry dates
- Enumerated
- 2007-08-22
- Last updated
- 2012-02-13
Frequently asked questions
- What is Advanced Ortho Rehab, P.A.'s NPI number?
- Advanced Ortho Rehab, P.A.'s National Provider Identifier (NPI) is 1679766711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Ortho Rehab, P.A.?
- Advanced Ortho Rehab, P.A. is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Advanced Ortho Rehab, P.A. located?
- Advanced Ortho Rehab, P.A.'s practice location on file with NPPES is 1 Lakeshore Dr Ste 1620, Lake Charles, LA 70629-0104.
- What is Advanced Ortho Rehab, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Advanced Ortho Rehab, P.A. is (337) 439-7007.
- Does Advanced Ortho Rehab, P.A. accept Medicare?
- Advanced Ortho Rehab, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Ortho Rehab, P.A.?
- The authorized official listed on Advanced Ortho Rehab, P.A.'s NPPES record is Samuel Liscum, Proprietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Ortho Rehab, P.A.'s NPI active?
- Yes — Advanced Ortho Rehab, P.A.'s NPI (1679766711) is active in the NPPES registry as of the last update on 2012-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.