Organization Active NPI

Performance Rehab Associates

  • Physical Therapist
  • Foley, AL
National Provider Identifier
1114605573
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PERFORMANCE REHAB ASSOCIATES
Practice address
780 W Laurel Ave
Foley, AL 36535-1348
Phone
(251) 970-3839
Fax
(251) 970-3840
NPI assigned
Jul 6, 2023
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Lanora Salter
Title
Owner
Phone
(251) 970-3839

Specialties & licenses 1

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

Addresses

Primary practice location

780 W Laurel Ave
Foley, AL 36535-1348

Mailing address

780 W Laurel Ave
Foley, AL 36535-1348
Phone (251) 970-3839

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231018002546 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082069539 Receives reassigned benefits from 1 practitioner
Practice locations: Foley, AL

National Provider Directory

National Provider Directory
Tax ID family
Performance Rehab Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

780 W Laurel Ave
Foley, AL 36535
Phone (251) 970-3839

Practitioners & affiliated clinicians

Practitioners 3

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": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1114605573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 W LAUREL AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351348",
            "telephone_number": "251-970-3839",
            "fax_number": "251-970-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W LAUREL AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351348",
            "telephone_number": "251-970-3839",
            "fax_number": "251-970-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHAB ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "LANORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-970-3839"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.