Performa Physical Medicine and Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PERFORMA PHYSICAL MEDICINE AND WELLNESS

Practice address

6435 S FM 549 Ste 102
Rockwall, TX 75032-6221

Phone

(303) 845-2392

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Peter Laurence Castro, MDNPI 1316986581

Title

Physician

Phone

(303) 845-2392

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Peter Laurence Castro, M.D.

  • Anesthesiology Physician
  • Boulder, CO
  • NPI 1316986581

  TX

  Medicare reassignment Care Compare group NPD Authorized official
• Peter Austin Chrisco, PT

  • Orthopedic Physical Therapist
  • Rockwall, TX
  • NPI 1588632806
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1427778786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 HIGHLAND PL",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167918",
            "telephone_number": "303-845-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 S FM 549 STE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326221",
            "telephone_number": "303-845-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMA PHYSICAL MEDICINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "LAURENCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "303-845-2392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek James Pelletier, PAC
• Angela Peralta, RDN, LD
• Angela Perez, ATC, LAT
• Cynthia Perez, DPT
• Lauren Christina Perez, PA-C
• Perinatology and Genetics PLLC
• Megan Munday Perkins, PA-C
• Quavaundra A. Perry, PHD, ABPP
• Johanna Pershin
• Taggart Petersen

• Clinic/Center in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.