Performance Sportsphysio, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PERFORMANCE SPORTSPHYSIO, LLC

Practice address

1325 Dry Creek Dr Ste 307
Longmont, CO 80503-7751

Phone

(720) 548-0068

NPI assigned

Feb 23, 2024

Organization subpart

No

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

Authorized official

Name

Tomoki Ken Usui, PT, DPTNPI 1316535891

Title

Owner

Phone

(720) 548-0068

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

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

• Tomoki Ken Usui, DPT

  • Physical Therapist
  • Longmont, CO
  • NPI 1316535891
  Medicare reassignment NPD Authorized official
• Jessica D Thompson, D.C.

  • Chiropractor
  • Longmont, CO
  • NPI 1073691812
  NPD

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1538925938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16321 GRAHAM PEAK WAY",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238326",
            "telephone_number": "720-548-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 DRY CREEK DR STE 307",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037751",
            "telephone_number": "720-548-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPORTSPHYSIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "USUI",
        "authorized_official_first_name": "TOMOKI",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-548-0068",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel N/a Perez, RBT
• Gina Lee Perez, BSW
• Jitka Perez
• Perfect Teeth - Longmont P.C.
• Perfect Teeth - Pace P.C.
• Jeffrey D. Perkins, MD
• Tyler J Perkins, D.C.
• Danelle Perricelli, PHARM.D.
• Morgan Pertzborn, MA, LPCC
• Peter a. Maves, PH.D, PLLC

• Physical Medicine & Rehabilitation Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.