Performance Spine and Sports Medicine

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

M6218 Issued in TX

Legal business name

PERFORMANCE SPINE AND SPORTS MEDICINE

Practice address

4613 Bee Cave Rd Ste 105
West Lake Hills, TX 78746-5206

Phone

(512) 327-8800

Fax

(512) 327-8802

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Vishal S Kancherla, D.O.

Title

Physician

Phone

(512) 327-8800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1669769055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVE RD STE 105",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465206",
            "telephone_number": "512-327-8800",
            "fax_number": "512-327-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVE RD STE 105",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465206",
            "telephone_number": "512-327-8800",
            "fax_number": "512-327-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPINE AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "KANCHERLA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-327-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "M6218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret E Peery, MAC
• Myra Alejandra Pena-Delgado, MD
• Leahna Jordan Pena
• Brooke Nicole Pendleton, LPC, NCC, MA
• Sharada D Penugonda, DPM
• Callie Perkins, LPC- ASSOCIATE
• Cara Petrofes
• Petweig Medical Az PLLC
• Daniel Philbrick
• Holly K Phillip, D.D.S.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.