PERFORMANCE PHYSICAL THERAPY AND SPORTS TRAINING, LLC (NPI# 1215263546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215263546 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE PHYSICAL THERAPY AND SPORTS TRAINING, LLC |
| Practice Address |
9130 Dickey Dr Suite A Mechanicsville VA 23116-2502 |
| Practice Telephone | 8048742454 |
| Practice Fax Number | 8045500971 |
| Mailing Telephone | 8048742454 |
| Mailing Fax Number | 8045500971 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |
| Authorized Official Name | JENNIFER M HYDE (OWNER / CLINIC DIRECTOR) |
| Authorized Official Telephone | 8048742454 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305202826 | VA | Ambulatory Health Care Facilities |
| Street Address |
9130 DICKEY DR SUITE A |
| City | MECHANICSVILLE |
| State | VA |
| Zip Code | 23116-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891341475 | Taylor Clevinger | Physical Therapist | 9130 Dickey Dr, Mechanicsville, VA 23116-2502 | 2019-08-10 |
| 1477967073 | James Richards | Physical Therapist | 9130 Dickey Dr, Suite A, Mechanicsville, VA 23116-2502 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131664 | Orthovirginia, Inc | Physician Assistant | 9369 Atlee Road Unit 3107, Mechanicsville, VA 23116 | 2019-12-12 |
| 1558915702 | Rachelle Lamaris Smith | Counselor | 7611 Magazine Drive, Mechanicsville, VA 23116 | 2019-07-26 |
| 1467004952 | Katherine Romero-davis | Speech-Language Pathologist | Sheltering Arms Rehabilitation Hospital, 8254 Atlee Road, Mechanicsville, VA 23116 | 2019-07-15 |
| 1275092850 | Melissa Harp Harden | Occupational Therapist | 9366 Count Kristopher Dr, Mechanicsville, VA 23116 | 2019-03-13 |
| 1467969105 | Lynsey Marie Preisner | Physician Assistant | 8262 Atlee Road Suite 202, Mechanicsville, VA 23116 | 2018-01-03 |
| 1912437526 | Kim S Hammonds | Nurse Practitioner | 8102 Braxton Court, Mechanicsville, VA 23116 | 2017-06-15 |
| 1023547528 | Gina Elysia Wurfel | Social Worker | 9126 Ashlar Pl, Mechanicsville, VA 23116 | 2017-06-08 |
| 1063945624 | Lisa Gervasoni | Occupational Therapist | 8254 Attlee Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1679006308 | Kerri Eggleston | Physical Therapist | 8226 Meadowbridge Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1659823466 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Road, Suite Number 800, Mechanicsville, VA 23116 | 2016-10-27 |
| Find all providers in zip 23116 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379192 | Effect Physical Therapy, Pllc | Clinic/Center | 7310 Hill View Dr, Mechanicsville, VA 23111-1324 | 2020-05-29 |
| 1093982738 | Freedom Therapy Solutions, Inc. | Clinic/Center | 28103 Three Notch Rd, Mechanicsville, MD 20659-3294 | 2008-05-12 |
| 1598823387 | Sheltering Arms Hospital South, Inc. | Clinic/Center | 8254 Atlee Rd, Mechanicsville, VA 23116-1844 | 2006-12-05 |
| 1669540431 | Sheltering Arms Hospital | Clinic/Center | 8254 Atlee Rd, Mechanicsville, VA 23116-1844 | 2006-12-01 |
| 1942380241 | Physiotherapy Associates Inc | Clinic/Center | 9097 Atlee Station Rd, Mechanicsville, VA 23116-2525 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194332 | The Royalty Treatment LLC | Clinic/Center | 14413 Huntgate Woods Rd, Midlothian, VA 23112-4362 | 2020-11-02 |
| 1245838754 | Camille Louise Ronesi | Clinic/Center | 8910 Patterson Ave, Richmond, VA 23229-6324 | 2020-10-16 |
| 1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1831709500 | The Balance Center, LLC | Clinic/Center | 4002 Millcreek Dr, Annandale, VA 22003-2334 | 2020-08-06 |
| 1013527381 | Movement Is Medicine Physical Therapy and Sports Performance | Clinic/Center | 508 Connecticut Ave, Norfolk, VA 23508-2706 | 2020-08-03 |
| 1003426297 | Bal Therapy LLC | Clinic/Center | 4514 36th St S Apt B1, Arlington, VA 22206-1855 | 2020-08-03 |
| 1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
| 1871117705 | Level Up Physical Therapy | Clinic/Center | 1625 Maiden Ln, Charlottesville, VA 22911-7509 | 2020-06-06 |
| 1942824297 | Heitmann Physical Therapy and Wellness | Clinic/Center | 6008 Sunset Ridge Ct, Centreville, VA 20121-3051 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSVILLE |
| Zip Code | 23116 |
Please comment or provide details below to improve the information on PERFORMANCE PHYSICAL THERAPY AND SPORTS TRAINING, 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.