Organization Active NPI

Max Performance Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1407751134
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MAX PERFORMANCE PHYSICAL THERAPY, LLC
Practice address
3502 Scotts LN Ste 101B
Philadelphia, PA 19129-1696
Phone
(732) 407-2613
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Alessandro Marco Antonini, PT
Title
Owner
Phone
(732) 407-2613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

3502 Scotts LN Ste 101B
Philadelphia, PA 19129-1696

Mailing address

318 Rambling Way
Springfield, PA 19064-3516

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1407751134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 RAMBLING WAY",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 SCOTTS LN STE 101B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291696",
            "telephone_number": "732-407-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX PERFORMANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "ANTONINI",
        "authorized_official_first_name": "ALESSANDRO",
        "authorized_official_middle_name": "MARCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-407-2613",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.