Performance Biomedical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PERFORMANCE BIOMEDICAL LLC

Practice address

10817 Courthouse Rd
Fredericksburg, VA 22408-2627

Phone

(267) 750-9622

Fax

(888) 688-0403

NPI assigned

May 3, 2011

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer FayNPI 1184249625

Title

Ceo

Phone

(267) 750-9622

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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.

• Jennifer Fay

  • Health Educator
  • Hazle Township, PA
  • NPI 1184249625
  NPD Authorized official

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1770875197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 COURTHOUSE RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082627",
            "telephone_number": "267-750-9622",
            "fax_number": "888-688-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10817 COURTHOUSE RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082627",
            "telephone_number": "267-750-9622",
            "fax_number": "888-688-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Bethlehem Pike Ste 105",
            "address_purpose": "LOCATION",
            "city": "Colmar",
            "state": "PA",
            "postal_code": "189159405",
            "country_code": "US",
            "telephone_number": "267-750-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFORMANCE BIOMEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-750-9622"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027835960001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hishani Perera, FNP
• Xavier Perez Hernandez, MD
• Ricky Alexander Perez-Macia
• Esther O. Perez-Quesada, BCABA, LABA
• Melissa Perez
• Taryanna Perkins
• Nicole Pernod-Liboy, PSY.D.
• Ashtyn Perrin, OD
• Connie Perrin
• Tierra Shakita Perrin

• Durable Medical Equipment & Medical Supplies in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.