Maxperformgo LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAXPERFORMGO LLC

Practice address

1510 Palos Verdes Mall Ste B
Walnut Creek, CA 94597-2230

Phone

(925) 344-3388

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Kristine Nalagan

Title

Manager

Phone

(925) 344-3388

Specialties & licenses 3

Addresses

Other names 2

• Max Performance Rehab Doing business as
• MaxPerformGO Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Maxperformgo LLC

  • Sports Physical Therapist
  • Walnut Creek, CA
  • NPI 1750044574
  NPPES parent name

Practitioners 2

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

• James Albertson, DPT

  • Orthopedic Physical Therapist
  • Walnut Creek, CA
  • NPI 1558919944
  Medicare reassignment Care Compare group NPD
• Bernard Go, PT, MS

  • Orthopedic Physical Therapist
  • Concord, CA
  • NPI 1912374372
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1316612476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 NOB HILL DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945966708",
            "telephone_number": "925-344-3388",
            "fax_number": "925-891-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 PALOS VERDES MALL STE B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972230",
            "telephone_number": "925-344-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXPERFORMGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "NALAGAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-344-3388"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Max Performance Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaxPerformGO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaxPerformGO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MaxPerformGO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Matthews, M.D.
• Timothy Brian Matthiessen, RD
• James R Mattingly V
• Randeep K Mavi, M.D.
• Linda Marie Maxey, CNM
• Maxperformgo LLC
• Maxwell B. Merkow MD, a Medical Corporation
• Japria Maxwell
• Melissa May, DPT
• Robin Meredith May, CRNA

• Physical Therapist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.