Performance Therapy Group PLLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

10330 Issued in TX

Legal business name

PERFORMANCE THERAPY GROUP PLLC

Practice address

2714 Bee Cave Rd
Suite #100
Austin, TX 78746-5677

Phone

(512) 587-4263

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ross Bomben, DC

Title

Owner

Phone

(512) 587-4263

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1356532527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 BEE CAVE RD",
            "address_2": "SUITE #100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465677",
            "telephone_number": "512-587-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 BEE CAVE RD",
            "address_2": "SUITE #100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465677",
            "telephone_number": "512-587-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE THERAPY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "BOMBEN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-587-4263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Perez, MA, LPC
• Tiara Marie Perez
• Vanessa Perez
• Perfect Care Assisted Living LLC
• Performance and Recovery Physical Therapy
• Performance Wellness Centers, LLC
• Performance Wellness Physical Therapy Center
• Perioperative Precision PLLC
• Ilka Perkins-Hagen
• Caroline Perkins

• Sports Physician Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Sports Physician Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.