PETROSKI PHYSIOTHERAPY AND PERFORMANCE LLC (NPI# 1598240384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598240384 |
| Entity Type | Organization |
| Organization Name | PETROSKI PHYSIOTHERAPY AND PERFORMANCE LLC |
| Practice Address |
12285 Mcnulty Rd Philadelphia PA 19154-1210 |
| Practice Telephone | 2157764872 |
| Mailing Telephone | 2157764872 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | DR. NICHOLAS PETROSKI (OWNER) |
| Authorized Official Telephone | 2157764872 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | N/A | 1871011882 | 01 |
| Street Address |
12285 MCNULTY RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19154-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871011882 | Nicholas Petroski | Physical Medicine & Rehabilitation | 12285 Mcnulty Rd, Philadelphia, PA 19154-1210 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| 1952944472 | Lilian Trinh | Occupational Therapist | 2701 Southhampton Rd, Philadelphia, PA 19154 | 2019-10-28 |
| 1861964009 | Margaret Folkes | Occupational Therapist | 2900 Southhampton Road, Philadelphia, PA 19154 | 2018-12-28 |
| 1093231227 | Jeffrey Coulter | Counselor | 11732 Denman Road, Philadelphia, PA 19154 | 2017-08-18 |
| 1518358860 | Davida Godett | Community Health Worker | 12575 Chilton Rd, Phila, PA 19154 | 2015-02-09 |
| 1780962647 | Advanced Urgent Care of Franklin Market LLC | Family Medicine | 189 Franklin Mills Blvd, Philadelphia, PA 19154 | 2011-07-26 |
| 1639329675 | Hashaam Shahid | Technician/Technologist | 1706 Franklin Mills Circle, Eye Wise, Philadelphia, PA 19154 | 2008-09-26 |
| 1902077902 | Kathleen O'toole Rayca | Speech-Language Pathologist | 10913 Kipling Lane, Philadelphia, PA 19154 | 2008-03-18 |
| 1144303603 | Patricia Lillian Green | Counselor | 10360 Drummond Road, Philadelphia Center Human Development, Philadelphia, PA 19154 | 2006-10-20 |
| 1760589113 | Sam's Club Optical | Technician/Technologist | 1000 Franklin Mills Circle, Philadelphia, PA 19154 | 2006-09-20 |
| Find all providers in zip 19154 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376967083 | Mckenzie Sports Therapy LLC | Physical Therapist | 3425 Conrad St, Philadelphia, PA 19129 | 2014-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606843 | P.o.c. Converter LLC | Physical Therapist | 9234 Abbey Ln, Irwin, PA 15642-4393 | 2020-04-01 |
| 1225518129 | 2wmvt, LLC | Physical Therapist | 203 Hershinger Rd, Coraopolis, PA 15108-9719 | 2018-08-20 |
| 1811419864 | Elite Pt LLC | Physical Therapist | 707 W Lancaster Ave, Wayne, PA 19087-2546 | 2017-07-12 |
| 1841606134 | Peter Bartges | Physical Therapist | 650 Convent Rd, Aston, PA 19014-1221 | 2014-07-07 |
| 1043581507 | Aimee Slattery | Physical Therapist | 290 Executive Dr, Unit #103, Cranberry Twp, PA 16066-6436 | 2012-01-14 |
| 1770892820 | Daniel W. Glatz | Physical Therapist | 119 Neely School Road, Wexford, PA 15090 | 2010-10-06 |
| 1700102654 | Aleksandra Meyerson | Physical Therapist | 1640 Oakwood Dr, Suite 302, Penn Valley, PA 19072-1061 | 2010-04-18 |
| 1841375086 | Integrated Physical Therapy, LLC | Physical Therapist | 357 S Gulph Rd Ste 310, King of Prussia, PA 19406-3136 | 2006-10-26 |
| 1841252731 | Manning Physical Therapy and Sports Medicine, Inc. | Physical Therapist | 3370 Library Rd, Pittsburgh, PA 15234-2609 | 2006-04-05 |
| 1447210497 | Eli Glick | Physical Therapist | 7 Whitefield Dr, Lafayette Hill, PA 19444-1648 | 2006-03-24 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19154 |
Please comment or provide details below to improve the information on PETROSKI PHYSIOTHERAPY AND PERFORMANCE 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.