Performance Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023111-1 Issued in NY

Legal business name

PERFORMANCE PHYSICAL THERAPY, PLLC

Practice address

165 High Rock Ave
Saratoga Springs, NY 12866-2435

Phone

(518) 832-1890

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Ann Maciariello, MSPT

Title

MSPT

Phone

(518) 832-1890

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518046887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128660672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 HIGH ROCK AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662435",
            "telephone_number": "518-832-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACIARIELLO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MSPT",
        "authorized_official_telephone_number": "518-832-1890",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023111-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Pelc, R.PH.
• Meghan Anne Pentak, MD
• Brenda Lee Peoples-Jones, FNP
• William Y Perez III, MPH, DDS
• William Ysidro Perez II, DDS
• Laureen Ann Perry, PA
• Kevin C Pertchik, PH.D.
• Peter Joseph Valastro Jr NPP PC
• Sierra Dior Petrosino, RN
• Jill Pfeiffer, PHARMD

• Physical Therapist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.