NPIMap

Organization Active NPI

Performance Physical Therapy & Fitness, Inc.

  • Physical Therapy Clinic/Center
  • Radnor, PA
National Provider Identifier
1083725055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PERFORMANCE PHYSICAL THERAPY & FITNESS, INC.
Practice address
320 King of Prussia Rd
Suite 100
Radnor, PA 19087-4440
Phone
(610) 341-9100
Fax
(610) 341-9993
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Luciano G. Legaspi, PTNPI 1295846236
Title
Owner
Phone
(610) 341-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

320 King of Prussia Rd
Suite 100
Radnor, PA 19087-4440

Mailing address

320 King of Prussia Rd
Suite 100
Radnor, PA 19087-4440
Phone (610) 341-9100

National Provider Directory

National Provider Directory

Locations

80 Rittenhouse Pl
Ardmore, PA 19003
Phone (484) 417-6106

Practitioners & affiliated clinicians

Practitioners 5

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083725055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 KING OF PRUSSIA RD",
            "address_2": "SUITE 100",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190874440",
            "telephone_number": "610-341-9100",
            "fax_number": "610-341-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KING OF PRUSSIA RD",
            "address_2": "SUITE 100",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190874440",
            "telephone_number": "610-341-9100",
            "fax_number": "610-341-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY & FITNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEGASPI",
        "authorized_official_first_name": "LUCIANO",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-341-9100",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radnor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.