Organization Active NPI

Performance Physical Therapy

  • Physical Therapist
  • Shrub Oak, NY
National Provider Identifier
1073630901
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.