Physical Performance Solutions LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL PERFORMANCE SOLUTIONS LLC

Practice address

147 Pendleton St NW
Aiken, SC 29801-3859

Phone

(803) 275-7675

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Lori Peacock

Title

Owner

Phone

(803) 275-7675

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori L Glisson, MSPT

  • Physical Therapist
  • Aiken, SC
  • NPI 1134315963
  NPD

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1124608070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PENDLETON ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PENDLETON ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013859",
            "telephone_number": "803-275-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL PERFORMANCE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-275-7675"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Pethick
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• Charles Edward Pexa, MD
• Kelly Pfeil
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• Keeley Pitts, OT
• Pivot Forward Pediatric Therapy LLC

• All providers in Aiken, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.