NPIMap

Organization Active NPI

Performance Physical Therapy of Stamford LLC

Doing business as Performance Physical Therapy of Stamford

  • Physical Therapist
  • Stamford, CT
National Provider Identifier
1477891943
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PERFORMANCE PHYSICAL THERAPY OF STAMFORD LLC
Doing business as
Performance Physical Therapy of Stamford
Practice address
1063 Hope St
Stamford, CT 06907-2109
Phone
(203) 422-0679
Fax
(203) 422-0931
NPI assigned
Jan 17, 2013
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
PERFORMANCE HEALTH CARE MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Mr. Michael Anthony Cook
Title
Practice Administrator
Phone
(203) 422-0679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1063 Hope St
Stamford, CT 06907-2109

Mailing address

800 Post Rd
Suite 3a
Darien, CT 06820-4622
Phone (203) 422-0679

Other names 1

  • Performance Physical Therapy of Stamford Doing business as

National Provider Directory

National Provider Directory
Part of
Performance Health Care Management

Locations

1063 Hope St
Stamford, CT 06907
Phone 2034220679213

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1477891943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 POST RD",
            "address_2": "SUITE 3A",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204622",
            "telephone_number": "203-422-0679",
            "fax_number": "203-422-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 HOPE ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069072109",
            "telephone_number": "203-422-0679",
            "fax_number": "203-422-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY OF STAMFORD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERFORMANCE HEALTH CARE MANAGEMENT",
        "enumeration_date": "2013-01-17",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-422-0679",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Physical Therapy of Stamford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.