Performance Rehab

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MM18935 Issued in FL

Legal business name

PERFORMANCE REHAB

Practice address

2303 Hollywood Blvd
Hollywood, FL 33020-6711

Phone

(954) 765-3200

NPI assigned

Apr 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Mevorah, DC

Title

Ceo

Phone

(954) 765-3200

Specialties & licenses 1

Addresses

Other names 1

• Performance Orthopedics East LLC Other name

Tax ID family

Performance Orthopedics East LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Performance Rehab, Inc

  • Physical Medicine & Rehabilitation Physician
  • Ft Lauderdale, FL
  • NPI 1063714210
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGCGCD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043436561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 SE 17TH ST",
            "address_2": "STE 104",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162983",
            "telephone_number": "954-765-3200",
            "fax_number": "954-765-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206711",
            "telephone_number": "954-765-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEVORAH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-765-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM18935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Orthopedics East LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Prado Perez, FNP
• Rosmery Perez
• Xue Linda Perez
• Yosvany Perez
• Perfect Hollywood Smile LLC
• Edgar Hernan Perilla, LMT
• Perinatal Center of South Florida, Inc.
• Heather Perkowski, APRN
• Kyla Perlman
• Richard S. Perlman, M.D.

• Massage Therapist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.