Performance PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT009320 Issued in OH

Legal business name

PERFORMANCE PT

Practice address

6715 Tippecanoe Rd
F101
Canfield, OH 44406-8180

Phone

(330) 286-3669

NPI assigned

Oct 16, 2013

Last updated

Oct 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Marucci, D.C.NPI 1689665168

Title

Owner

Phone

(330) 286-3669

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason T Marucci, D.C.

  • Chiropractor
  • Boardman, OH
  • NPI 1689665168
  NPD Authorized official

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1316375066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 TIPPECANOE RD",
            "address_2": "F101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 TIPPECANOE RD",
            "address_2": "F101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068180",
            "telephone_number": "330-286-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "MARUCCI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-286-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT009320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick K Peaslee, P.T.
• Carla Elizabeth Pecchio-Bowen
• Shane Lawrence Pelanda, CRNA
• David Pemberton Jr.
• Susan Marina Perdos, RN, NCTMB, LMT, CCHT
• Elizabeth Perkins, LPC
• Angelo Peroulakis
• Sheldon Persky, D.D.S.
• Kimberly Peterson, RN
• Gianna Elizabethh Petrella

• Physical Therapy Clinic/Center in Canfield, OH
• Providers in Canfield, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.