NPIMap

Organization Active NPI

Performance Spine & Sports Physicians, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Phoenixville, PA
National Provider Identifier
1770892937
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PERFORMANCE SPINE & SPORTS PHYSICIANS, P.C.
Practice address
824 Main St
Suite 201
Phoenixville, PA 19460-4478
Phone
(610) 935-0719
NPI assigned
Oct 5, 2010
Organization subpart
Yes
Parent organization
PERFORMANCE SPINE & SPORTS PHYSICIANS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Lori Nelson, M.D.
Title
Medical Director
Phone
(610) 935-0719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

824 Main St
Suite 201
Phoenixville, PA 19460-4478

Mailing address

824 Main St
Suite 201
Phoenixville, PA 19460-4478
Phone (610) 935-0719

National Provider Directory

National Provider Directory
Tax ID family
Performance Spine and Sports Physicians PC6 organizations share this tax ID, including this one
Part of
Performance Spine and Sports Physicians PC

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1770892937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "address_2": "SUITE 201",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-935-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "address_2": "SUITE 201",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-935-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPINE & SPORTS PHYSICIANS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERFORMANCE SPINE & SPORTS PHYSICIANS, P.C.",
        "enumeration_date": "2010-10-05",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-935-0719",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.