Active NPI
Performance Physical Therapy Inc
- Physical Therapy Clinic/Center
- Severna Park, MD
National Provider Identifier
1710102140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PERFORMANCE PHYSICAL THERAPY INC
- Doing business as
- Performance Physical Therapy
- Practice address
- 877 Baltimore Annapolis Blvd
Suite 105
Severna Park, MD 21146-4700 - Phone
- (410) 431-7040
- Fax
- (410) 431-7042
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rebecca Martin Placella, M.P.T.
- Title
- Owner
- Phone
- (301) 938-7915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
877 Baltimore Annapolis Blvd
Suite 105
Severna Park, MD 21146-4700
Mailing address
13704 Harvest Glen Way
Germantown, MD 20874-6250
Phone (301) 938-7915
Other names 1
- Performance Physical Therapy
National Provider Directory
National Provider DirectoryLocations
877 Baltimore Annapolis Blvd
Ste 105
Severna Park, MD 21146
Phone (410) 431-7040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710102140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13704 HARVEST GLEN WAY",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208746250",
"telephone_number": "301-938-7915",
"fax_number": "410-431-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 BALTIMORE ANNAPOLIS BLVD",
"address_2": "SUITE 105",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211464700",
"telephone_number": "410-431-7040",
"fax_number": "410-431-7042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PLACELLA",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-938-7915",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Performance Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Severna Park, MD
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.