Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanced Ortho Rehab, PA

Organization Chiropractor · NPI 1679766711

Advanced Ortho Rehab, PA provides Chiropractor services in Lake Charles, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Lakeshore Dr Ste 1620
Lake Charles, LA 70629-0104 Not confirmed with CMS for 14 years — call before visiting
Phone: (337) 439-7007
Fax: (337) 439-7011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1563 (LA)

Record details

NPI number1679766711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Liscum — Proprietor · (337) 439-7007
Other names Human Performance: A Wellness & Rehab Center
NPI enumeratedAugust 22, 2007
Last updated in NPPESFebruary 13, 2012
Mailing address1 Lakeshore Dr Ste 1670, Lake Charles, LA 70629-0114

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