Pediatric Performance, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

464 Issued in NC

Legal business name

PEDIATRIC PERFORMANCE, INC.

Practice address

2012 Link Rd
Chapel Hill, NC 27516-8736

Phone

(919) 942-8229

Fax

(919) 942-8229

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Margaretha J De Bruijn, OTR/L

Title

Director

Phone

(919) 942-8229

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1861632697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 LINK RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168736",
            "telephone_number": "919-942-8229",
            "fax_number": "919-942-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 LINK RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168736",
            "telephone_number": "919-942-8229",
            "fax_number": "919-942-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PERFORMANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "DE BRUIJN",
        "authorized_official_first_name": "MARGARETHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-942-8229",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "28053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Catherine Pecoraro, MD
• David Peden, MD
• Colin Pedersen, D.M.D.
• Cort A Pedersen, MD
• Elizabeth Pedersen, PHD
• Devan Darren Kristopher Peebles, DC
• Mary Elizabeth Peeler, MD
• Anne F Peery, M.D.
• Jennifer L Peifer, PA
• Allisa Gladys Pellegrino, MS, RD, LDN

• Specialist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.