NPIMap

Organization Active NPI

Performance Spine & Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Hamilton, NJ
National Provider Identifier
1356610133
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
25MA08436100 Issued in NJ
Legal business name
PERFORMANCE SPINE & SPORTS MEDICINE
Practice address
3705 Quakerbridge Rd Ste 206
Hamilton, NJ 08619-1288
Phone
(609) 588-8600
Fax
(609) 588-8602
NPI assigned
Dec 22, 2011
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Heather Rose Hepler, CPC
Title
Lead Financial Rep
Phone
(346) 308-6741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 25MA08436100 NJ Primary
Prosthetic/Orthotic Supplier 335E00000X 25MD00303700 NJ

Addresses

Primary practice location

3705 Quakerbridge Rd Ste 206
Hamilton, NJ 08619-1288

Mailing address

PO Box 649842
Dallas, TX 75264-9842
Phone (609) 817-0052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121212000110 NJ DME Supplier - Physician - General PracticeDME Supplier - Sports Medicine 1850444761 Practice locations: Lawrenceville, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Performance Spine Sports2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4056 Quakerbridge Rd
Ste 111
Lawrenceville, NJ 08648
Phone (609) 588-8600

3705 Quakerbridge Rd
Ste 206
Mercerville, NJ 08619
Phone (609) 588-8600

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1356610133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649842",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752649842",
            "telephone_number": "609-817-0052",
            "fax_number": "609-588-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 QUAKERBRIDGE RD STE 206",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191288",
            "telephone_number": "609-588-8600",
            "fax_number": "609-588-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPINE & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "HEPLER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "LEAD FINANCIAL REP",
        "authorized_official_telephone_number": "346-308-6741",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "25MA08436100",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "25MD00303700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.