Organization Active NPI

Performance Rehabilitation PT PLLC

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1295893816
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009728 Issued in NY
Legal business name
PERFORMANCE REHABILITATION PT PLLC
Practice address
1554 Astor Ave
Bronx, NY 10469-6424
Phone
(718) 652-3432
Fax
(718) 652-5107
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Mr. Steven W Srebnik, MS, PT, CHTNPI 1437250024
Title
Owner
Phone
(914) 776-7310

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 009728 NY Primary

Addresses

Primary practice location

1554 Astor Ave
Bronx, NY 10469-6424

Mailing address

955 Yonkers Ave
Suite 109
Yonkers, NY 10704-3060
Phone (914) 776-7310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1295893816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 YONKERS AVE",
            "address_2": "SUITE 109",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043060",
            "telephone_number": "914-776-7310",
            "fax_number": "914-776-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 ASTOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696424",
            "telephone_number": "718-652-3432",
            "fax_number": "718-652-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHABILITATION PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SREBNIK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-776-7310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT, CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.