NPIMap

Organization Active NPI

Performance Spine and Sports Physicians, PC

  • Non-Pharmacy Dispensing Site
  • Phoenixville, PA
National Provider Identifier
1306157300
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PERFORMANCE SPINE AND SPORTS PHYSICIANS, PC
Practice address
824 Main St
Ste 201
Phoenixville, PA 19460-4478
Phone
(610) 935-0719
NPI assigned
Jun 24, 2010
Organization subpart
Yes
Parent organization
PERFORMANCE SPINE AND SPORTS PHYSICIANS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. David Lichten, M.D.
Title
Medical Director
Phone
(610) 935-0719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

824 Main St
Ste 201
Phoenixville, PA 19460-4478

Mailing address

2980 N Beverly Glen Cir
Ste 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Performance Spine and Sports Physicians PC6 organizations share this tax ID, including this one
Part of
Performance Spine and Sports Physicians PC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1306157300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "address_2": "STE 201",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-935-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPINE AND SPORTS PHYSICIANS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERFORMANCE SPINE AND SPORTS PHYSICIANS, PC",
        "enumeration_date": "2010-06-24",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "LICHTEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-935-0719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.