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Performance Therapeutics - del Rio, PLLC

Organization Active NPI Physical Therapist · Del Rio, TX

NPI 1821379207 · NPPES record last updated Oct 11, 2024

Key facts

NPI
1821379207
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
PERFORMANCE THERAPEUTICS - DEL RIO, PLLC
Practice address
2409 Veterans Blvd Ste 5
Del Rio, TX 78840-3127
Phone
(956) 687-4559
NPI assigned
Aug 30, 2011
Organization subpart
No

Authorized official

Name
Omar Palomin NPI 1184662926
Title
Ceo
Phone
(956) 687-4559

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

Corporate family (same tax ID) 1

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

Practitioners 19

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120508000261 TX Part B Supplier - Clinic/Group Practice 3375705486 Receives reassigned benefits from 16 practitioners
Practice locations: Del Rio, TX

National Provider Directory

Tax ID family
Performance Therapeutics - del Rio PLLC (2 organizations share this tax ID)

Locations

2409 Veterans Blvd
Ste 5
Del Rio, TX 78840
Phone (830) 488-6265

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP		 225100000X Yes

Addresses

Primary practice location

2409 Veterans Blvd Ste 5
Del Rio, TX 78840-3127

Mailing address

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

Other providers in Del Rio, TX

All providers in Del Rio, TX · Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.