Performance Sports Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PERFORMANCE SPORTS MEDICAL CENTER LLC

Practice address

6535 S Dayton St Ste 3100
Greenwood Village, CO 80111-6134

Phone

(303) 335-9140

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Nathanael WilliamsNPI 1982989208

Title

Employee

Phone

(303) 335-9140

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Nathanael Lee Williams, D.C.

  • Chiropractor
  • Greenwood Village, CO
  • NPI 1982989208
  NPD Authorized official
• Michael Casey Schmitz, D.C

  • Chiropractor
  • Greenwood Village, CO
  • NPI 1275883944
  NPD

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1073158655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST STE 3100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116134",
            "telephone_number": "303-335-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST STE 3100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116134",
            "telephone_number": "303-335-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPORTS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NATHANAEL",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "303-335-9140"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Percich, MS, CGC
• Gisella Maria Pere, MD
• Cristian Perez Carrillo
• Mark Odilon Perez, DC
• Performance Physical Therapy Inc
• Monica Alexis Perlman
• Kendal Perry, BCBA
• Meagan Perry
• Genesis Perrymond, CAA
• David Petersen, LCSW

• General Practice Physician in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.