Performance Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 22955 Issued in CA

Legal business name

PERFORMANCE PHYSICAL THERAPY

Practice address

1289 S Main St
Suite 1
Yreka, CA 96097-3433

Phone

(530) 842-5220

Fax

(530) 842-5210

NPI assigned

Jul 17, 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

Phillip Jon White, P.T.NPI 1457314551

Title

Physical Therapist/Owner

Phone

(530) 842-5220

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Phillip Jon White, P.T.

  • Physical Therapist
  • Yreka, CA
  • NPI 1457314551
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629095344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973433",
            "telephone_number": "530-842-5220",
            "fax_number": "530-842-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973433",
            "telephone_number": "530-842-5220",
            "fax_number": "530-842-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "530-842-5220",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 22955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Wayne Overstreet
• Sean S Park, MD
• Manika S Paul
• Katarina Baltayan Pautz
• Laurie Marie Pedro Robustellini
• Cally Elizabeth Perkins, FNP-C
• Noah D Perlman, ND, DC
• Joseph Perreira Jr., RADT
• Kariel Pickens
• Elizabeth Ann Pimentel, RNFA

• Physical Therapist in Yreka, CA
• Providers in Yreka, CA by specialty
• Physical Therapist in California

• 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.