Performancepro Sports Medicine and Rehabilitation Limited Partnership

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PERFORMANCEPRO SPORTS MEDICINE AND REHABILITATION LIMITED PARTNERSHIP

Practice address

4135 S Broadway Ave
Tyler, TX 75701-8720

Phone

(713) 297-7000

Fax

(713) 297-7090

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Richard Binstein

Title

VP/Authorized Official

Phone

(713) 297-7000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gina L Wagner, PT

  • Physical Therapist
  • Tyler, TX
  • NPI 1447434980
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1740464387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422447",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018720",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCEPRO SPORTS MEDICINE AND REHABILITATION LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Perez, D.D.S
• Jonathan David Perez, M.D.
• Marcelina Perez, RBT
• Rocio Perez, RBT
• Performancepro Sports Medicine and Rehabilitation
• Christopher Perkins, DO
• Kirsten Perricone, APRN
• Tracy Perrie
• Christopher A Perro, MD
• Janet Lynn Perry

• Physical Therapist in Tyler, TX
• Providers in Tyler, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.