PERFORMANCE PT (NPI# 1316375066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316375066 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE PT |
| Practice Address |
6715 Tippecanoe Rd F101 Canfield OH 44406-8180 |
| Practice Telephone | 3302863669 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | DR. JASON MARUCCI (OWNER) |
| Authorized Official Telephone | 3302863669 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT009320 | OH | Ambulatory Health Care Facilities |
| Street Address |
6715 TIPPECANOE RD F101 |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-8180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336079 | Anthony Innocenzi | Podiatrist | 6715 Tippecanoe Rd, Building F Unit 101, Canfield, OH 44406-8180 | 2005-06-17 |
| 1376085944 | Michelle Edenfield Counseling | Counselor | 6715 Tippecanoe Rd, Bldg E Suite L01, Canfield, OH 44406-8180 | 2016-11-13 |
| 1952692543 | All Caring Hospice, LLC | Hospice Care, Community Based | 6715 Tippecanoe Rd, Building B Suite 101, Canfield, OH 44406-8180 | 2011-04-29 |
| 1053574558 | Barak Podiatry,llc | Podiatrist | 6715 Tippecanoe Rd, Building D, Suite 100, Canfield, OH 44406-8180 | 2008-07-03 |
| 1760656284 | Wellness Ventures LLC | Chiropractor | 6715 Tippecanoe Rd, F101, Canfield, OH 44406-8180 | 2008-04-15 |
| 1912108663 | Ohio Living Holdings | Voluntary or Charitable | 6715 Tippecanoe Rd, Bldg E, Canfield, OH 44406-8180 | 2007-05-30 |
| 1710901343 | Ohio Living Holdings | Home Health | 6715 Tippecanoe Rd, Bldg E, Canfield, OH 44406-8180 | 2006-07-27 |
| 1407814452 | Thomas E. Albani Jr. | Family Medicine | 6715 Tippecanoe Rd, Bldg E, Suite 101, Canfield, OH 44406-8180 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568706703 | Marybeth F. Romeo, Pt LLC | Clinic/Center | 4137 Boardman Canfield Rd, Suite 104, Canfield, OH 44406-8087 | 2012-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013514 | Dunamis Performance & Physio LLC | Clinic/Center | 115 Mountview Ct, Mount Sterling, OH 43143-1220 | 2020-11-02 |
| 1710592639 | Goal Physical Therapy and Wellness, LLC | Clinic/Center | 427 W Dussel Dr # 295, Maumee, OH 43537-4208 | 2020-09-09 |
| 1942813829 | Fit 4 Life Physical Therapy | Clinic/Center | 7575 Fredle Dr Ste B2, Concord Twp, OH 44077-9413 | 2020-08-28 |
| 1972113462 | Restorative Physical Therapy Co | Clinic/Center | 4770 Indianola Ave Ste 102, Columbus, OH 43214-1862 | 2020-08-09 |
| 1588273825 | Tremont Functional Rehab, LLC | Clinic/Center | 2401 Scranton Rd, Cleveland, OH 44113-4313 | 2020-07-22 |
| 1700402633 | Fusion Home Therapy LLC | Clinic/Center | 3556 Magnolia Dr, Seven Hills, OH 44131-5146 | 2020-06-16 |
| 1528680410 | Resilience Pelvic Physical Therapy and Wellness | Clinic/Center | 17 Pinewood Ln, Hudson, OH 44236-3467 | 2020-05-13 |
| 1023644432 | Bridge Pt, LLC | Clinic/Center | 3748 Sr-7, Optional, Chesapeake, OH 45619 | 2020-03-17 |
| 1518599786 | Meghan E Jackson | Clinic/Center | 781 Bayridge Blvd, Willowick, OH 44095-4241 | 2020-02-06 |
| 1760022735 | Physical Therapy 212, LLC | Clinic/Center | 10 N Market St Ste D, Troy, OH 45373-3281 | 2020-01-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PERFORMANCE PT.
| 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.