Active NPI
Performance Physical Therapy
- Physical Therapist
- Shrub Oak, NY
National Provider Identifier
1073630901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PERFORMANCE PHYSICAL THERAPY
- Practice address
- 3795 Indian Hill Rd
Shrub Oak, NY 10588-1302 - Phone
- (914) 302-6415
- Fax
- (914) 245-3905
- NPI assigned
- Mar 24, 2007
- Last updated
- Mar 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Dempsey
- Title
- VP
- Phone
- (914) 302-6415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
3795 Indian Hill Rd
Shrub Oak, NY 10588-1302
Mailing address
3795 Indian Hill Rd
Shrub Oak, NY 10588-1302
Phone (914) 302-6415
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopedic Physical Therapist
- Mount Kisco, NY
- NPI 1477608966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268179200000",
"number": "1073630901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3795 INDIAN HILL RD",
"city": "SHRUB OAK",
"state": "NY",
"postal_code": "105881302",
"telephone_number": "914-302-6415",
"fax_number": "914-245-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3795 INDIAN HILL RD",
"city": "SHRUB OAK",
"state": "NY",
"postal_code": "105881302",
"telephone_number": "914-302-6415",
"fax_number": "914-245-3905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-24",
"last_updated": "2010-03-10",
"status": "A",
"authorized_official_last_name": "DEMPSEY",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "914-302-6415"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrub Oak, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.