NPIMap

Organization Active NPI

Performance Over Pain LLC

  • Physical Therapist
  • Perrysburg, OH
National Provider Identifier
1730477928
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-4650 Issued in OH
Legal business name
PERFORMANCE OVER PAIN LLC
Practice address
1090 W S Boundary St Ste 200
Perrysburg, OH 43551-5278
Phone
(419) 872-1914
Fax
(419) 872-1910
NPI assigned
Jul 21, 2011
Last updated
Oct 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Mr. Michael J Olmstead, P.T.NPI 1972725836
Title
Ceo
Phone
(419) 872-1914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT-4650 OH Primary

Addresses

Primary practice location

1090 W S Boundary St Ste 200
Perrysburg, OH 43551-5278

Mailing address

1090 W S Boundary St Ste 200
Perrysburg, OH 43551-5278
Phone (419) 872-1914

National Provider Directory

National Provider Directory

Locations

1090 W South Boundary St
#2
Perrysburg, OH 43551
Phone (419) 872-1914

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1730477928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 W S BOUNDARY ST STE 200",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515278",
            "telephone_number": "419-872-1914",
            "fax_number": "419-872-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W S BOUNDARY ST STE 200",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515278",
            "telephone_number": "419-872-1914",
            "fax_number": "419-872-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE OVER PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "OLMSTEAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-872-1914",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-4650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.