PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC (NPI# 1710919063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710919063 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC |
| Other Organization Name | ATI PHYSICAL THERAPY OF WESTERN MASSACHUSETTS |
| Practice Address |
124 Myron St West Springfield MA 01089-1420 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 4135269969 |
| Practice Fax Number | 4135269960 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6302962223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251H1200X |
Physical Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BMC GROUP ELM | 03527 | 01 |
| MA | DEPT. OF LABOR | 103355100 | 01 |
| MA | HNE | 28117 | 01 |
| MA | BMC-GROUP-DENDLOW | 35264 | 01 |
| MA | 9715568 | 05 | |
| MA | BLUE CROSS OT | OG0011 | 01 |
| MA | CT CARE | 043527 | 01 |
| MA | TUFT | 690675 | 01 |
| MA | NETWORK HEALTH | 972730 | 01 |
| MA | DME | 4510980001 | 01 |
| MA | HARVARD PILGRIM | AA49027 | 01 |
| MA | BLUE CROSS | Y61264 | 01 |
| MA | BMC GROUP ELM | 35265 | 01 |
| MA | UNITED | 64-04290 | 01 |
| Other Name | Type Code |
|---|---|
| ATI Physical Therapy of Western Massachusetts | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164723391 | Performance Rehabilitation of Western New England LLC | Occupational Therapist | 25 Bridge Street, Belchertown, MA 01007-8909 | 2010-11-04 |
| 1376140566 | Performance Rehabilitation of Western New England LLC | Durable Medical Equipment & Medical Supplies | 70 Post Office Park Ste 7007, Wilbraham, MA 01095-1291 | 2020-10-01 |
| 1972986073 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 65 Springfield Rd, Westfield, MA 01085 | 2015-07-07 |
| 1992182695 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 65 Springfield Rd, Westfield, MA 01085-1855 | 2015-05-01 |
| 1083949861 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 70 Post Office Park, Suite 7007, Wilbraham, MA 01095-1287 | 2009-10-12 |
| 1447445523 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 300 Birnie Ave, Suite 304, Springfield, MA 01107 | 2007-09-11 |
| 1740345818 | Performance Rehabilitation of Western New England LLC | Occupational Therapist | 168 Denslow Rd, East Longmeadow, MA 01028-3188 | 2006-12-27 |
| Street Address |
124 MYRON ST |
| City | WEST SPRINGFIELD |
| State | MA |
| Zip Code | 01089-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972013944 | Jacob Allen | Physical Therapist | 124 Myron St, West Springfield, MA 01089-1420 | 2017-10-04 |
| 1730638248 | Kristina Simberg | Physical Therapist | 124 Myron St, West Springfield, MA 01089-1420 | 2016-09-26 |
| 1235597535 | Miranda Jasienowski | Physical Therapist | 124 Myron St, West Springfield, MA 01089-1420 | 2016-02-02 |
| 1205202744 | Monika Stefanowicz | Physical Therapist | 124 Myron St, West Springfield, MA 01089-1420 | 2015-08-19 |
| 1245653161 | Ross Beck | Specialist/Technologist | 124 Myron St, West Springfield, MA 01089-1420 | 2014-01-28 |
| 1598198400 | Jamie Mackie | Physical Therapist | 124 Myron St, West Springfield, MA 01089-1420 | 2013-08-14 |
| 1457686214 | Cristina L Conca | Physical Therapist | 124 Myron St, West Springfield, MA 01089-1420 | 2009-10-13 |
| 1184896946 | Tina Fortier | Physical Therapist | 124 Myron St, West Springfield, MA 01089-1420 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040990 | Konrad Syrek | Behavioral Analyst | 1472 Riverdale St. Suite A, West Springfield, MA 01089 | 2020-10-15 |
| 1861099335 | Vanna Leang | Behavioral Analyst | 1472 Riverdale St, Suite A, West Springfield, MA 01089 | 2020-10-07 |
| 1215534755 | Malakie Berry | Behavioral Analyst | 1472 Riverdale St., Suite A, West Springfield, MA 01089 | 2020-10-07 |
| 1952800930 | Nicole Coughlin | Social Worker | 103 Myron St. Suite A, West Springfield, MA 01089 | 2018-02-06 |
| 1679017156 | Tender Care Helping Hands LLC | Home Health | 1434 Memorial Ave, Westspringfield, MA 01089 | 2016-12-19 |
| 1154736130 | Mikin Patel | Dentist | 235b Memorial Ave, West Springfield, MA 01089 | 2014-06-27 |
| 1881029312 | Melinda A Koblosh | Physical Therapist | 1111 Elm St., Suite 9, West Springfield, MA 01089 | 2013-09-03 |
| 1316379852 | Jessica C Marquez | Social Worker | 204 Wayside Ave, West Springfield, MA 01089 | 2013-08-07 |
| 1114360112 | Center for Human Development | In Home Supportive Care | 247 Park St, West Springfield, MA 01089 | 2013-04-10 |
| 1336421395 | John L. O'neill | Social Worker | 103 Myron Street Suite A, West Springfield, MA 01089 | 2011-09-15 |
| Find all providers in zip 01089 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821577503 | Sophie Neuhaus | Physical Therapist | 1111 Elm St Ste 9, West Springfield, MA 01089-1540 | 2018-08-13 |
| 1598272569 | Melinda Acevedo | Physical Therapist | 309 Poplar Ave, West Springfield, MA 01089-2972 | 2017-12-29 |
| 1215344098 | Jamie Johansen Francis | Physical Therapist | 49 Prospect Ave, West Springfield, MA 01089-4510 | 2014-07-14 |
| 1881029312 | Melinda A Koblosh | Physical Therapist | 1111 Elm St., Suite 9, West Springfield, MA 01089 | 2013-09-03 |
| 1902189053 | Elizabeth Laroche | Physical Therapist | 271 Park St Bldg Suite, West Springfield, MA 01089-3311 | 2011-09-26 |
| 1336437607 | Lindsey Keller Harris | Physical Therapist | 217 Morgan Rd, West Springfield, MA 01089-1487 | 2011-07-20 |
| 1528395662 | Cheryl Mary Denucci | Physical Therapist | 1051 Elm St Apt 24, West Springfield, MA 01089-1534 | 2009-11-10 |
| 1275697591 | Rebecca Kristin Alexander | Physical Therapist | 41 Prospect Ave, West Springfield, MA 01089-4510 | 2006-12-21 |
| 1912930058 | Sofia Zanzarella | Physical Therapist | 1111 Elm Street, Suite 9, West Springfield, MA 01089 | 2006-07-09 |
| 1235765702 | Yuval Friedman | Physical Therapist | 8348 Traford Ln Ste 100, West Springfield, VA 22152-1650 | 2020-03-17 |
| Find all providers in WEST SPRINGFIELD | ||||
| City | WEST SPRINGFIELD |
| Zip Code | 01089 |
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| 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.