Organization Active NPI

Performancerx Nutrition & Fitness

  • Registered Dietitian
  • Pittsburgh, PA
National Provider Identifier
1194678847
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PERFORMANCERX NUTRITION & FITNESS
Practice address
569 S Braddock Ave
Pittsburgh, PA 15221-3216
Phone
(570) 862-5895
NPI assigned
Feb 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Ting an Fang, RDN, CDCESNPI 1013798529
Title
Registered Dietitian
Phone
(570) 862-5895

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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

569 S Braddock Ave
Pittsburgh, PA 15221-3216

Mailing address

569 S Braddock Ave
Pittsburgh, PA 15221-3216
Phone (570) 862-5895

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260416002044 PA Part B Supplier - Clinic/Group Practice 2769958883 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1194678847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 S BRADDOCK AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152213216",
            "telephone_number": "570-862-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 S BRADDOCK AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152213216",
            "telephone_number": "570-862-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCERX NUTRITION & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "TING AN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "570-862-5895",
        "authorized_official_credential": "RDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.