NPIMap

Organization Active NPI

Performance Health Center LLC

  • Chiropractor
  • Natick, MA
National Provider Identifier
1669688982
Registry record updated Jan 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
972 Issued in MA
Legal business name
PERFORMANCE HEALTH CENTER LLC
Practice address
264 N Main St
Natick, MA 01760-1141
Phone
(508) 655-9008
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2009

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

Authorized official

Name
Dr. Bradley Jay Weiss, D.C.NPI 1750308391
Title
Owner
Phone
(508) 655-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 972 MA Primary

Addresses

Primary practice location

264 N Main St
Natick, MA 01760-1141

Mailing address

264 N Main St
Natick, MA 01760-1141
Phone (508) 655-9008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090130000103 MA Part B Supplier - Clinic/Group Practice 5799849113 Receives reassigned benefits from 5 practitioners
Practice locations: Natick, MA

National Provider Directory

National Provider Directory

Locations

222 N Main St
Natick, MA 01760
Phone (508) 655-9008

264 N Main St
Natick, MA 01760
Phone (508) 590-9263

Practitioners & affiliated clinicians

Practitioners 7

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230940800000",
    "number": "1669688982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601141",
            "telephone_number": "508-655-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601141",
            "telephone_number": "508-655-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-01-03",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-655-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.