Performax Physical Therapy Wellness, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PERFORMAX PHYSICAL THERAPY WELLNESS, P.C.

Practice address

150 Bay Shore Rd
North Babylon, NY 11703-1711

Phone

(631) 586-6616

Fax

(631) 586-6617

NPI assigned

Feb 27, 2013

Last updated

Jan 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Torres, PHYSICAL THERAPISTNPI 1740475995

Title

Owner

Phone

(631) 827-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Marie Torres, PT

  • Physical Therapist
  • North Babylon, NY
  • NPI 1740475995
  Medicare reassignment Care Compare group NPD Authorized official
• Vincent Paul Bonura, DPT

  • Physical Therapist
  • North Babylon, NY
  • NPI 1184331894
  Medicare reassignment Care Compare group NPD
• Armand Diesso, PT

  • Physical Therapist
  • North Babylon, NY
  • NPI 1083695894
  Medicare reassignment Care Compare group NPD
• Michael Grieco

  • Physical Therapist
  • North Babylon, NY
  • NPI 1780155150
  Medicare reassignment Care Compare group NPD
• David John Soldano, DPT

  • Physical Therapist
  • North Babylon, NY
  • NPI 1710384557
  Medicare reassignment Care Compare group NPD
• Anthony Simon

  • Physical Therapist
  • North Babylon, NY
  • NPI 1023672912
  Medicare reassignment NPD
• Megan Russ

  • Physical Therapist
  • Islandia, NY
  • NPI 1649816430
  NPD (past)

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1710227715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BAY SHORE RD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031711",
            "telephone_number": "631-586-6616",
            "fax_number": "631-586-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BAY SHORE RD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031711",
            "telephone_number": "631-586-6616",
            "fax_number": "631-586-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMAX PHYSICAL THERAPY WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-827-2500",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Patel
• Maharukh R Patell, MD
• Pathmark Stores Inc (Pathmark Pharmacy)
• Laura Pellechia
• Raymond Pellegrino, D.C.
• Colleen Perrone
• Gina Petrella, ANP-C
• Maria Pezzolla
• Christopher Anthony Picchione, OD
• Islande Pierre Louis, LPN

• Physical Therapist in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.