PERFORMAX PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC (NPI# 1073069035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073069035 |
Entity Type | Organization |
Organization Name | PERFORMAX PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC |
Practice Address |
8700 Walkelin Ct Raleigh NC 27615-4147 |
Practice Telephone | 9197102681 |
Enumeration Date | 2016-08-30 |
Last Update Date | 2016-08-30 |
Authorized Official Name | DR. BRYAN LITTLEJOHN (OWNER) |
Authorized Official Telephone | 9197102681 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
11174 | NC | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376093906 | Performax Physical Therapy and Sports Rehabilitation, LLC | Clinic/Center | 5501 Fortunes Ridge Dr, Ste. L, Durham, NC 27713-6102 | 2016-10-06 |
Street Address |
8700 WALKELIN CT |
City | RALEIGH |
State | NC |
Zip Code | 27615-4147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
Find all providers in zip 27615 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255958930 | Rise Physical Therapy LLC | Clinic/Center | 3710 Exchange Glenwood Pl Apt 346, Raleigh, NC 27612-4853 | 2020-06-29 |
1447733878 | Swarajchand Corp | Clinic/Center | 8320 Litchford Rd Ste 140, Raleigh, NC 27615-3860 | 2018-09-12 |
1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
1659731214 | Agilitas Usa, Inc | Clinic/Center | 815 Oberlin Rd # 302, Raleigh, NC 27605-1300 | 2016-02-25 |
1336508688 | Optimum Mobile Rehabilitation L.L.C. | Clinic/Center | 150 Saint Mellion St, Raleigh, NC 27603-4175 | 2016-02-15 |
1437524600 | Agilitas Usa Inc | Clinic/Center | 11201 Galleria Ave # 105, Raleigh, NC 27614-8137 | 2015-12-14 |
1235528985 | Xcel Rehabilitation Services | Clinic/Center | 12528 Honeychurch St, Raleigh, NC 27614-8482 | 2015-01-19 |
1457768335 | Legacy Healthcare Services, Inc. | Clinic/Center | 7900 Creedmoor Rd, Raleigh, NC 27613-4382 | 2014-07-12 |
1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
1912190174 | S.t.a.c.k. Physical Therapy & Corrective Exercise, Incorporated | Clinic/Center | 1640 Eva Mae Dr, Raleigh, NC 27610-4443 | 2007-08-21 |
Find all providers in RALEIGH |
Please comment or provide details below to improve the information on PERFORMAX PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.