Organization Active NPI

Performance Plus Physical Therapy LLC

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1104230028
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT870773 Issued in DC
Legal business name
PERFORMANCE PLUS PHYSICAL THERAPY LLC
Practice address
1712 I St NW
Suite 305
Washington, DC 20006-3702
Phone
(410) 499-9512
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Danelle Dickson, PT DPT OCA
Title
Owner
Phone
(410) 499-9512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT870773 DC Primary

Addresses

Primary practice location

1712 I St NW
Suite 305
Washington, DC 20006-3702

Mailing address

7333 New Hampshire Ave
Apt 414S
Takoma Park, MD 20912-6958
Phone (410) 499-9512

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1104230028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 NEW HAMPSHIRE AVE",
            "address_2": "APT 414S",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126958",
            "telephone_number": "410-499-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 I ST NW",
            "address_2": "SUITE 305",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063702",
            "telephone_number": "410-499-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PLUS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "DANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-499-9512",
        "authorized_official_credential": "PT DPT OCA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.