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HUMAN PERFORMANCE: A WELLNESS & REHAB CENTER
NPI 1679766711
Chiropractor in Lake Charles, LA

Active since August 22, 2007
1 LAKESHORE DR STE 1620, LAKE CHARLES, LA 70629(337) 439-7007(337) 439-7011 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Human Performance: A Wellness & Rehab Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUMAN PERFORMANCE: A WELLNESS & REHAB CENTER (NPI 1679766711) is a healthcare organization registered as a chiropractor in Lake Charles, Louisiana and active in the NPI registry since August 2007. The organization lists Samuel E Liscum, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1679766711
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED ORTHO REHAB, P.A.
Location Address1 LAKESHORE DR STE 1620Lake Charles, LA 70629-0104
Mailing Address1 Lakeshore Dr Ste 1670Lake Charles, LA 70629-0114 · (337) 439-7007 · Fax (337) 439-7011
Phone(337) 439-7007
Fax(337) 439-7011
Organization SubpartNo
Authorized OfficialSamuel E LiscumProprietor · (337) 439-7007
Enumeration DateAugust 22, 2007
Last NPPES UpdateFebruary 13, 2012
✔ NPI 1679766711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in LA · 1563
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1 LAKESHORE DR STE 1620, Lake Charles, LA 70629
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Other Names 1

Doing Business AsHuman Performance: A Wellness & Rehab Center

Other Identifiers 1

Medicare PIN00312HTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Human Performance: A Wellness & Rehab Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20110621000757Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Human Performance: A Wellness & Rehab Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samuel Liscum, D.C.
Chiropractic
NPI 1396760096
24012 MAPLEWOOD DR SUITE 2
Sulphur, LA 70663
(337) 439-7007
✔ Accepts Medicare6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Ortho Rehab, P.A.'s NPI number?

The NPI number for Advanced Ortho Rehab, P.A. is 1679766711. It was assigned to this organization in the NPPES registry on August 22, 2007. The provider is doing business as Human Performance: A Wellness & Rehab Center.

Where is Advanced Ortho Rehab, P.A. located?

Advanced Ortho Rehab, P.A. is located at 1 Lakeshore Dr Ste 1620, Lake Charles, LA 70629. The listed phone number is (337) 439-7007.

What is Advanced Ortho Rehab, P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Advanced Ortho Rehab, P.A. enrolled in Medicare?

Yes. Advanced Ortho Rehab, P.A. is registered in the Medicare PECOS enrollment system.

When is Advanced Ortho Rehab, P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Ortho Rehab, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Advanced Ortho Rehab, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Ortho Rehab, P.A. accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Advanced Ortho Rehab, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Ortho Rehab, P.A. was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.