Performance Physical Therapy of South Holland LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PERFORMANCE PHYSICAL THERAPY OF SOUTH HOLLAND LLC

Practice address

426 E 162ND St
South Holland, IL 60473-2258

Phone

(708) 333-0677

Fax

(708) 333-1170

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

James D JudgeNPI 1265484406

Title

Partner

Phone

(219) 979-2730

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• James D Judge, P.T.

  • Physical Therapist
  • Park Ridge, IL
  • NPI 1265484406
  NPD (past) Authorized official
• Eric Wayne Boss, PT

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1912196395
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1679520233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E 162ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "708-333-0677",
            "fax_number": "708-333-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E 162ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "708-333-0677",
            "fax_number": "708-333-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY OF SOUTH HOLLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "219-979-2730"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Patel, PA-C
• Vivek Patel, DPM
• Sharmaine Patterson, APN
• Sabrina Peden
• Performance Foot and Ankle Center LLC
• Angela Perry, M.D.
• Jasa Perry, LCPC
• Alexander Perteete
• Peter H. Neale SC
• Peter M. Jurkash, D.D.S.,P.C.

• Physical Therapy Clinic/Center in South Holland, IL
• Providers in South Holland, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.