NPIMap

Organization Active NPI

Performance Therapeutics PLLC

  • Physical Therapist
  • Edinburg, TX
National Provider Identifier
1750355996
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1139541 Issued in TX
Legal business name
PERFORMANCE THERAPEUTICS PLLC
Doing business as
Performance Therapeutics PLLC
Practice address
2502 W Freddy Gonzalez Dr Ste B
Edinburg, TX 78539-7388
Phone
(956) 687-4560
Fax
(956) 618-1342
NPI assigned
Feb 15, 2006
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Mr. Omar Palomin, PTNPI 1184662926
Title
Ceo
Phone
(956) 381-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1139541 TX Primary

Addresses

Primary practice location

2502 W Freddy Gonzalez Dr Ste B
Edinburg, TX 78539-7388

Mailing address

2101 N 23Rd St Ste B
McAllen, TX 78501-6127
Phone (956) 687-4559

Other identifiers 3

IdentifierTypeStateIssuer
161271501MedicaidTX
0030KMOtherTXBCBS
610717400OtherTXWORKERS COMPENSATION

Other names 1

  • Performance Therapeutics PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525000611 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416938691 Receives reassigned benefits from 16 practitioners
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory
Tax ID family
Performance Therapeutics Edinburg2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2101 N 23rd St
Ste B
McAllen, TX 78501

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1750355996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N 23RD ST STE B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016127",
            "telephone_number": "956-687-4559",
            "fax_number": "956-618-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 W FREDDY GONZALEZ DR STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397388",
            "telephone_number": "956-687-4560",
            "fax_number": "956-618-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE THERAPEUTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "PALOMIN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-381-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1139541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161271501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0030KM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "610717400",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Therapeutics PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.