NPIMap

Organization Active NPI

Perform Bty Inc

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1225815715
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PERFORM BTY INC
Practice address
410 SE 16TH CT Apt 109
Fort Lauderdale, FL 33316-2543
Phone
(630) 890-9031
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Ieva SciukauskaiteNPI 1447927355
Title
President
Phone
(630) 890-9031

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

410 SE 16TH CT Apt 109
Fort Lauderdale, FL 33316-2543

Mailing address

410 SE 16TH CT Apt 109
Fort Lauderdale, FL 33316-2543
Phone (630) 890-9031

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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1225815715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SE 16TH CT APT 109",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162543",
            "telephone_number": "630-890-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SE 16TH CT APT 109",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162543",
            "telephone_number": "630-890-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORM BTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A",
        "authorized_official_last_name": "SCIUKAUSKAITE",
        "authorized_official_first_name": "IEVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-890-9031"
    },
    "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 Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.