NPIMap

Organization Active NPI

Performance Therapeutics-McAllen

  • Physical Therapist
  • McAllen, TX
National Provider Identifier
1114191277
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1139541 Issued in TX
Legal business name
PERFORMANCE THERAPEUTICS-MCALLEN
Practice address
500 Lindberg Ave
McAllen, TX 78501-2924
Phone
(956) 687-4560
Fax
(956) 618-1342
NPI assigned
Apr 18, 2008
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Omar Palomin, P.T.NPI 1184662926
Title
Owner/ Physical Therapist
Phone
(956) 687-4559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1139541 TX Primary

Addresses

Primary practice location

500 Lindberg Ave
McAllen, TX 78501-2924

Mailing address

2101 N 23Rd St
McAllen, TX 78501-6127
Phone (956) 687-4559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090116000350 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204999253 Receives reassigned benefits from 16 practitioners
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory
Tax ID family
Performance Therapeutics McAllen3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

320 N McColl Rd
#1A
McAllen, TX 78501

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1114191277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N 23RD ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016127",
            "telephone_number": "956-687-4559",
            "fax_number": "956-618-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012924",
            "telephone_number": "956-687-4560",
            "fax_number": "956-618-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE THERAPEUTICS-MCALLEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "PALOMIN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "956-687-4559",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1139541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.