NPIMap

Organization Active NPI

Performax, LLC

  • Orthopedic Physical Therapist
  • Bothell, WA
National Provider Identifier
1538276407
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
PERFORMAX, LLC
Doing business as
FYZICAL Therapy & Balance Centers
Practice address
22118 20TH Ave SE
Suite 139
Bothell, WA 98021
Phone
(425) 485-5444
Fax
(425) 485-5588
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Ramanathan Supramanian
Title
Business Owner
Phone
(425) 485-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

22118 20TH Ave SE
Suite 139
Bothell, WA 98021

Mailing address

22118 20TH Ave SE
Suite 139
Bothell, WA 98021
Phone (425) 485-5444

Other names 1

  • FYZICAL Therapy & Balance Centers Doing business as

National Provider Directory

National Provider Directory

Locations

22118 20th Ave SE
Ste 139
Bothell, WA 98021
Phone (425) 485-5444

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1538276407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22118 20TH AVE SE",
            "address_2": "SUITE 139",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98021",
            "telephone_number": "425-485-5444",
            "fax_number": "425-485-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22118 20TH AVE SE",
            "address_2": "SUITE 139",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98021",
            "telephone_number": "425-485-5444",
            "fax_number": "425-485-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMAX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "SUPRAMANIAN",
        "authorized_official_first_name": "RAMANATHAN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "425-485-5444"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.