Performance Pain and Sports Medicine, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC

Practice address

1216 E Main St Ste a
League City, TX 77573-7463

Phone

(346) 217-1111

Fax

(346) 571-2189

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Suzanne Manzi, MD

Title

Owner

Phone

(346) 217-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• Performance Pain and Sports Medicine, PLLC

  • Customized Equipment (DME)
  • Baytown, TX
  • NPI 1013803147

  2163714551

  Same PAC ID
• Performance Pain and Sports Medicine, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
  • NPI 1316307275

  2163714551

  Same PAC ID
• Performance Pain and Sports Medicine, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
  • NPI 1710475801

  2163714551

  Same PAC ID

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1407696362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649834",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752649834",
            "telephone_number": "346-308-6741",
            "fax_number": "346-571-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E MAIN ST STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737463",
            "telephone_number": "346-217-1111",
            "fax_number": "346-571-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "MANZI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-217-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Immediate Care of Texas, PLLC
• Stephanie Marie Perez-Self, M.S. SLP
• Judith Jebet Perez, NP
• Massiel Marie Perez, RPH
• Adam Armando Pereznegron
• Clarissa Ava Perkins-Stafford
• Erika Jane Perry, RN, CNOR, RNFA
• Lynda Cannezzaro Peterson, MSED., LP, LCDC, NBC
• Rebecca Ann Peth, DPT
• Raurie Quinn Petrich

• Durable Medical Equipment & Medical Supplies in League City, TX
• Providers in League City, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.