Organization Active NPI

Performance One

  • Athletic Trainer
  • Orlando, FL
National Provider Identifier
1508933870
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL 1542 Issued in FL
Legal business name
PERFORMANCE ONE
Practice address
1768 Park Center Dr
Suite 360
Orlando, FL 32835-6200
Phone
(407) 290-2471
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Bryan Whitehurst, ATC, LAT
Title
Director of Sports Medicine
Phone
(407) 290-2471

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X AL 1542 FL
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X AL 1542 FL Primary

Addresses

Primary practice location

1768 Park Center Dr
Suite 360
Orlando, FL 32835-6200

Mailing address

1768 Park Center Dr
Suite 360
Orlando, FL 32835-6200
Phone (407) 290-2471

Other names 1

  • Performance One Sports Marketing and Management Other name

National Provider Directory

National Provider Directory

Locations

1768 Park Center Dr
Ste 360
Orlando, FL 32835
Phone (407) 290-2471

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508933870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 PARK CENTER DR",
            "address_2": "SUITE 360",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356200",
            "telephone_number": "407-290-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 PARK CENTER DR",
            "address_2": "SUITE 360",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356200",
            "telephone_number": "407-290-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WHITEHURST",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "DIRECTOR OF SPORTS MEDICINE",
        "authorized_official_telephone_number": "407-290-2471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC, LAT"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "FL",
            "license": "AL 1542",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance One Sports Marketing and Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.