Organization Active NPI

Performance Physical Therapy & Rehab of Ormond Beach, LLC

  • Physical Therapy Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1790722668
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PERFORMANCE PHYSICAL THERAPY & REHAB OF ORMOND BEACH, LLC
Practice address
53 N Kings Rd
Ormond Beach, FL 32174-9519
Phone
(386) 615-6464
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Timothy D'Avy, PT
Title
Partner
Phone
(386) 615-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

53 N Kings Rd
Ormond Beach, FL 32174-9519

Mailing address

53 N Kings Rd
Ormond Beach, FL 32174-9519
Phone (386) 615-6464

Other names 1

  • Performance Physical Therapy of Ormond Beach Other name

National Provider Directory

National Provider Directory

Locations

53 N Old Kings Rd
Ste A
Ormond Beach, FL 32174
Phone (386) 615-6464

53 N Kings Rd
Ormond Beach, FL 32174
Phone (386) 615-6464

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1790722668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 N KINGS RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749519",
            "telephone_number": "386-615-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 N KINGS RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749519",
            "telephone_number": "386-615-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY & REHAB OF ORMOND BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "D'AVY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "386-615-6464",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Physical Therapy of Ormond Beach",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.