NPIMap

Organization Active NPI

Performax Physical Therapy and Sports Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Raleigh, NC
National Provider Identifier
1073069035
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
11174 Issued in NC
Legal business name
PERFORMAX PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC
Practice address
8700 Walkelin CT
Raleigh, NC 27615-4147
Phone
(919) 710-2681
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Bryan LittlejohnNPI 1003062696
Title
Owner
Phone
(919) 710-2681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 11174 NC Primary

Addresses

Primary practice location

8700 Walkelin CT
Raleigh, NC 27615-4147

Mailing address

8700 Walkelin CT
Raleigh, NC 27615-4147

National Provider Directory

National Provider Directory
Tax ID family
Performax Physical Therapy and Sports Re2 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.

Locations

201 Kitty Hawk Dr
Ste 109
Morrisville, NC 27560
Phone (919) 797-2017

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1073069035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 WALKELIN CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 WALKELIN CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154147",
            "telephone_number": "919-710-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMAX PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-710-2681",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "11174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.