Organization Active NPI

Performance Therapy LLC

  • Physical Therapist
  • Gahanna, OH
National Provider Identifier
1124807714
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PERFORMANCE THERAPY LLC
Practice address
720 Cross Pointe Rd
Gahanna, OH 43230-6685
Phone
(614) 981-9517
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Kevin Brown, DPT
Title
Owner
Phone
(614) 981-9517

Specialties & licenses 1

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

Addresses

Primary practice location

720 Cross Pointe Rd
Gahanna, OH 43230-6685

Mailing address

720 Cross Pointe Rd
Gahanna, OH 43230-6685
Phone (614) 981-9517

National Provider Directory

National Provider Directory

Locations

720 Cross Pointe Rd
Gahanna, OH 43230
Phone (614) 626-9644

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1124807714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CROSS POINTE RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306685",
            "telephone_number": "614-981-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CROSS POINTE RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306685",
            "telephone_number": "614-981-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-981-9517",
        "authorized_official_credential": "DPT"
    },
    "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 Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.