Performance Prosthetics & Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR 145 Issued in FL

Legal business name

PERFORMANCE PROSTHETICS & ORTHOTICS

Practice address

4304 N Davis Hwy Ste B
Pensacola, FL 32503-2754

Phone

(850) 607-6126

Fax

(850) 607-6674

NPI assigned

May 12, 2010

Organization subpart

No

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

Authorized official

Name

Scott David Cooper

Title

Office Manager

Phone

(850) 607-6126

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Performance Prosthetics & Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Performance Prosthetics & Orthotics, PL

  • Prosthetic/Orthotic Supplier
  • Crestview, FL
  • NPI 1518594704

  4981895059

  Same PAC ID
• Performance Prosthetics & Orthotics, PL

  • Prosthetic/Orthotic Supplier
  • Foley, AL
  • NPI 1932483831

  4981895059

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Performance Prosthetics Orthotics PL3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Performance Prosthetics & Orthotics, PL

  • Prosthetic/Orthotic Supplier
  • Crestview, FL
  • NPI 1518594704
  NPD tax ID
• Performance Prosthetics & Orthotics, PL

  • Prosthetic/Orthotic Supplier
  • Foley, AL
  • NPI 1932483831
  NPD tax ID

Locations

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1740508019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 N DAVIS HWY STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032754",
            "telephone_number": "850-607-6126",
            "fax_number": "850-607-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 N DAVIS HWY STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032754",
            "telephone_number": "850-607-6126",
            "fax_number": "850-607-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-607-6126"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR 145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002681100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Perez, MSN, FNP-BC
• Kalee Perez
• Leslie A Perez, MSW, LCSW
• Perfect Touch Massage & Spa
• Performance and Regenerative Medicine of Pensacola PA
• Allison B Perkins, D.O.
• Laquinda Denise Perkins
• Lonnie Lee Perkins, LMT
• Regina Perkins
• Teri Perkins, LCSW

• Prosthetic/Orthotic Supplier in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.