NPIMap

Organization Active NPI

Performance Group Cullman, LLC

  • Physical Therapist
  • Cullman, AL
National Provider Identifier
1588673131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PERFORMANCE GROUP CULLMAN, LLC
Practice address
1701 Main Ave SW
Suite G
Cullman, AL 35055-5299
Phone
(256) 775-0400
Fax
(256) 775-0402
NPI assigned
Aug 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lora H Hester
Title
Office Administrator
Phone
(205) 871-7294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1701 Main Ave SW
Suite G
Cullman, AL 35055-5299

Mailing address

4 Office Park Cir
Suite 103
Birmingham, AL 35223-2511
Phone (205) 871-7242

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588673131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR",
            "address_2": "SUITE 103",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232511",
            "telephone_number": "205-871-7242",
            "fax_number": "205-871-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MAIN AVE SW",
            "address_2": "SUITE G",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555299",
            "telephone_number": "256-775-0400",
            "fax_number": "256-775-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE GROUP CULLMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "205-871-7294",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • 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.