Performance Physical Medicine & Rehabilitation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00297800 Issued in NJ

Legal business name

PERFORMANCE PHYSICAL MEDICINE & REHABILITATION

Practice address

18 Furler St
Totowa, NJ 07512-1802

Phone

(973) 341-5253

Fax

(973) 341-5254

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Brian M Wraith, D.C

Title

President

Phone

(973) 341-5253

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1851652622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FURLER ST",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121802",
            "telephone_number": "973-341-5253",
            "fax_number": "973-341-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FURLER ST",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121802",
            "telephone_number": "973-341-5253",
            "fax_number": "973-341-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL MEDICINE & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "WRAITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-341-5253",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00297800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie R Pedlar, RPH
• Regina Marie Pelz, RN, BSN
• Ziara Pena
• Caroline Perez, LCSW
• Perfect Smiles LLC
• Performance Rehabilitation, PC
• Janet Joke Pierre-Toussaint, LCSW
• Leonard Pierro Jr., P.T.
• Maxine Clare Pinto
• Artyom Pocapinskis, PTA

• Chiropractor in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.