Organization Active NPI

Performance Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Severna Park, MD
National Provider Identifier
1710102140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.