Performex Physical Therapy and Sports Rehabilitation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PERFORMEX PHYSICAL THERAPY AND SPORTS REHABILITATION

Practice address

12-28 River Rd
Fair Lawn, NJ 07410-1489

Phone

(201) 951-4331

NPI assigned

Jun 3, 2021

Last updated

Aug 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Arcentales, PT, DPTNPI 1275847485

Title

Physical Therapist/ Owner

Phone

(201) 277-1107

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Wesley Arcentales, DPT

  • Orthopedic Physical Therapist
  • Fair Lawn, NJ
  • NPI 1275847485
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1083280564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-28 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101489",
            "telephone_number": "201-951-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-28 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101489",
            "telephone_number": "201-951-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMEX PHYSICAL THERAPY AND SPORTS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "ARCENTALES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "201-277-1107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace of Mindfullness, Inc
• Pediatricare Associates
• Fallon Peller
• Jesenia Perez-Ortiz, MSN, APRN, FNP-C
• Performex Pediatric Services
• Sarah Perkins, LCSW
• Yumiko T Pestka, MSBA, BCBA
• Chelsea Petillo
• Kimberly Ann Petrolia
• Marilyn Sandra Pettinati, LCSW

• Multi-Specialty Clinic/Center in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.