NPIMap

Organization Active NPI

Performance Rehabilitation Corp.

  • Physical Therapy Clinic/Center
  • Sanford, NC
National Provider Identifier
1508053489
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8549 Issued in NC
Legal business name
PERFORMANCE REHABILITATION CORP.
Practice address
1408 Greenway Court
Sanford, NC 27330-6953
Phone
(336) 707-5558
Fax
(919) 708-7240
NPI assigned
Sep 25, 2007
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Jason Scott Osborne, MPTNPI 1083621494
Title
President
Phone
(919) 708-7220

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8549 NC Primary

Addresses

Primary practice location

1408 Greenway Court
Sanford, NC 27330-6953

Mailing address

1408 Greenway Court
Sanford, NC 27330-6953
Phone (919) 708-7220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071113000512 NC Part B Supplier - Clinic/Group Practice 4688762347 Receives reassigned benefits from 1 practitioner
Practice locations: Sanford, NC

National Provider Directory

National Provider Directory

Locations

1408 Greenway Ct
Sanford, NC 27330
Phone (336) 707-5558

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1508053489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 GREENWAY COURT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306953",
            "telephone_number": "919-708-7220",
            "fax_number": "919-708-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 GREENWAY COURT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306953",
            "telephone_number": "336-707-5558",
            "fax_number": "919-708-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHABILITATION CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-708-7220",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "8549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.