Clifton Max

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17059 Issued in MD

Legal business name

CLIFTON MAX

Doing business as

Performance Physical Therapy

Practice address

5309 Weywood Dr
Reisterstown, MD 21136-4528

Phone

(410) 977-9416

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Eric M Gordon, PT

Title

Owner

Phone

(410) 977-9416

Specialties & licenses 1

Addresses

Other names 1

• Performance Physical Therapy Doing business as

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1366808990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 WEYWOOD DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211364528",
            "telephone_number": "410-977-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 WEYWOOD DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211364528",
            "telephone_number": "410-977-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON MAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-977-9416",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Maria Cinquegrani, LCSW-C
• Caroline Anne Cinquino Miller, LCPC
• Circle of Friends Owings Mills
• Andrew Clayborne, PHARMD
• Wayne Clemons
• Clinical Associates P a
• Clinical Associates P a
• Clinical Associates P a
• Clinical Associates P a
• Esther Myra Cohen, P.A.C

• Physical Therapist in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.