Performance Physical Therapy of Port Orange

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PERFORMANCE PHYSICAL THERAPY OF PORT ORANGE

Practice address

5100 S Clyde Morris Blvd
Port Orange, FL 32127-8976

Phone

(386) 304-8112

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

James D Judge, PT

Title

Partner

Phone

(386) 304-8112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1255372256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 200",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278976",
            "telephone_number": "386-304-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S CLYDE MORRIS BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278976",
            "telephone_number": "386-304-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY OF PORT ORANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "386-304-8112",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleah Pennisi
• Alison Penrod
• Ashley Perez Moreno
• Kristal Xiomara Perez, DC
• Marilourdes Perez, MA, LMHC
• Performance Physical Therapy, LLC
• Personal Touch Fitting
• Tori Persons
• Perspective Mental Health Counseling, LLC
• Olivia Pesce

• Physical Therapy Clinic/Center in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.