Performanceabove LLC
Organization Active NPI Physical Therapist · Aiken, SC
NPI 1740859271 · NPPES record last updated Jul 3, 2022
Key facts
- NPI
- 1740859271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PERFORMANCEABOVE LLC
- Practice address
- 116 Pendleton St SW Ste B
Aiken, SC 29801-2441 - Phone
- (803) 716-8750
- NPI assigned
- Jun 19, 2021
- Organization subpart
- No
Authorized official
- Name
- Hetal Acharekar
- Title
- Physical Therapist
- Phone
- (803) 716-8750
Practitioners 2
-
Hetal Acharekar, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210708000395 | SC | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9931501368 |
Receives reassigned benefits from 2 practitioners Practice locations: Aiken, SC |
National Provider Directory
Locations
920 Houndslake Dr
Aiken, SC 29803
Phone (803) 215-4942
116 Pendleton St SW
Ste B
Aiken, SC 29801
Phone (423) 276-1077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
116 Pendleton St SW Ste B
Aiken, SC 29801-2441
Mailing address
585 Parkside Dr
Aiken, SC 29803-5061
Phone (423) 276-1077
Other providers in Aiken, SC
- Weems R Pennington III
- Taylor Greene Pennisi
- Pepper Hill SNF Operations LLC
- Shannon W Pepper
- Hamna Talha Peracha
- Mary Markham Perkins
- Sherria S Perry Johnson
- Annie Pervera
- Katharine Margaret Peters
- Alexandria N Peterson
All providers in Aiken, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.