Performance Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501010847 Issued in MI

Legal business name

PERFORMANCE THERAPY, LLC

Practice address

1457 N Rochester Rd
Rochester Hills, MI 48307-1122

Phone

(248) 759-4446

Fax

(248) 759-4448

NPI assigned

Oct 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Eric Joseph Van Hulle, M.P.T., O.M.P.T.

Title

Member / Partner

Phone

(586) 344-7449

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1043520752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 N ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071122",
            "telephone_number": "248-759-4446",
            "fax_number": "248-759-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 N ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071122",
            "telephone_number": "248-759-4446",
            "fax_number": "248-759-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "VAN HULLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER / PARTNER",
        "authorized_official_telephone_number": "586-344-7449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T., O.M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501010847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.