NPIMap

Organization Active NPI

Performance Rehabilitation Services, LLC

  • Orthopedic Physical Therapist
  • La Place, LA
National Provider Identifier
1396708186
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
PERFORMANCE REHABILITATION SERVICES, LLC
Practice address
301 W Airline Hwy
Suite 104
La Place, LA 70068-3823
Phone
(985) 653-9242
Fax
(985) 653-9324
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Joseph Leroy Shine Jr., PTNPI 1992761761
Title
President
Phone
(504) 525-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X LA
Ergonomics Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251E1200X LA
Geriatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251G0304X LA
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X LA Primary

Addresses

Primary practice location

301 W Airline Hwy
Suite 104
La Place, LA 70068-3823

Mailing address

PO Box 309
La Place, LA 70069-0309
Phone (504) 525-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000240 LA Part B Supplier - Clinic/Group Practice 7315981305 Receives reassigned benefits from 2 practitioners
Practice locations: La Place, LA; New Orleans, LA

National Provider Directory

National Provider Directory

Locations

13323 Highway 90
Boutte, LA 70039
Phone (985) 308-1630

509 Main St
La Place, LA 70068
Phone (504) 487-9422

301 W Airline Hwy
Ste 104
La Place, LA 70068
Phone (985) 653-9242

4637 S Carrollton Ave
New Orleans, LA 70119
Phone (504) 525-2225

747 Magazine St
Ste 100
New Orleans, LA 70130
Phone (504) 525-2225

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1396708186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700690309",
            "telephone_number": "504-525-2225",
            "fax_number": "504-525-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W AIRLINE HWY",
            "address_2": "SUITE 104",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683823",
            "telephone_number": "985-653-9242",
            "fax_number": "985-653-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHINE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-525-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.