Performax Physical Therapy, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PERFORMAX PHYSICAL THERAPY, INC.

Practice address

29100 Gateway Blvd
Suite 400
Flat Rock, MI 48134-2764

Phone

(734) 379-7900

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Monica A Mannnino

Title

Owner

Phone

(734) 379-7900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1194766808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29100 GATEWAY BLVD.",
            "address_2": "SUITE 400",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "48134",
            "telephone_number": "734-379-7900",
            "fax_number": "734-379-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29100 GATEWAY BLVD",
            "address_2": "SUITE 400",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481342764",
            "telephone_number": "734-379-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMAX PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "MANNNINO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-379-7900"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Flat Rock, MI
• Providers in Flat Rock, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.