Performance Spine & Rehabilitation Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

02151 Issued in MD

Legal business name

PERFORMANCE SPINE & REHABILITATION INC

Practice address

10 Fila Way
Suite 208
Sparks, MD 21152-9452

Phone

(410) 472-9625

Fax

(410) 472-9627

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Joseph Lepito, DCNPI 1982649810

Title

Ceo

Phone

(410) 472-9625

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Matthew Joseph Lepito, DC

  • Chiropractor
  • Sparks, MD
  • NPI 1982649810
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1255538005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FILA WAY",
            "address_2": "SUITE 208",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529452",
            "telephone_number": "410-472-9625",
            "fax_number": "410-472-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FILA WAY",
            "address_2": "SUITE 208",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529452",
            "telephone_number": "410-472-9625",
            "fax_number": "410-472-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPINE & REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "LEPITO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-472-9625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• India Paschall-Myers
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• Portia Lamaire Peacock
• Sydney Pelletier
• Jordan Perry
• Tabria Perry
• Tasheira Peterson
• Emmery Petti
• Physiotherapy Associates

• Chiropractor in Sparks, MD
• Providers in Sparks, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.