Performance Rehabilitation of Western New England LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC

Doing business as

Performance Rehabilitation PC

Practice address

25 Bridge Street
Belchertown, MA 01007-8909

Phone

(413) 323-1020

Fax

(413) 323-5020

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. James Biron, PT

Title

Ceo

Phone

(413) 529-6669

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Performance Rehabilitation PC Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Performance Rehabilitation of Western New England LLC

  • Hand Occupational Therapist
  • Wilbraham, MA
  • NPI 1083949861

  O20040810000712

  Same enrollment
• Performance Rehabilitation of Western New England LLC

  • Occupational Therapist
  • Springfield, MA
  • NPI 1447445523

  O20040810000712

  Same enrollment
• Performance Rehabilitation of Western New England LLC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063

  O20040810000712

  Same enrollment
• Performance Rehabilitation of Western New England LLC

  • Occupational Therapist
  • East Longmeadow, MA
  • NPI 1740345818

  O20040810000712

  Same enrollment

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Athletic and Therapeutic Institute of Naperville, LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1871825455

  Member Of

  NPD member
• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • Milford, DE
  • NPI 1609015700

  Member Of

  NPD member

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1164723391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BRIDGE STREET",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010078909",
            "telephone_number": "413-323-1020",
            "fax_number": "413-323-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "BIRON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-529-6669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9715568",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Rehabilitation PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie M. Ogg
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• Lizbeth Paddy, LMFT LMHC EDD
• Shannon Kelli Palmer
• Pam Weissman Consulting
• Amy Katherine Person
• Amelia Elizabeth Phillips, LAT, ATC
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• Pioneer Valley Search and Rescue Corp
• Melissa Jane Potter

• Physical Therapist in Belchertown, MA
• Providers in Belchertown, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.