NPIMap

Organization Active NPI

Performance Rehab, Inc.

  • Physical Therapist
  • Nashua, NH
National Provider Identifier
1871678797
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02574 Issued in NH
Legal business name
PERFORMANCE REHAB, INC.
Practice address
29 Riverside St.
Ste C
Nashua, NH 03062
Phone
(603) 881-9990
Fax
(603) 881-4191
NPI assigned
Oct 26, 2006
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Ms. Michele Holland, PTNPI 1700899598
Title
Owner
Phone
(603) 881-9990

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 02574 NH Primary

Addresses

Primary practice location

29 Riverside St.
Ste C
Nashua, NH 03062

Mailing address

29 Riverside St.
Ste C
Nashua, NH 03062
Phone (603) 881-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031107000050 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274446190 Receives reassigned benefits from 4 practitioners
Practice locations: Nashua, NH

National Provider Directory

National Provider Directory

Locations

123 Nashua Rd
Unit 35
Londonderry, NH 03053
Phone (603) 434-1700

115 Northeastern Blvd
Nashua, NH 03062
Phone (603) 289-5343

29 Riverside St
#C
Nashua, NH 03062
Phone (603) 881-9990

29C Riverside St
Nashua, NH 03062

55 Northeastern Blvd
Nashua, NH 03062
Phone (603) 595-2255

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1871678797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 RIVERSIDE ST.",
            "address_2": "STE C",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03062",
            "telephone_number": "603-881-9990",
            "fax_number": "603-881-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 RIVERSIDE ST.",
            "address_2": "STE C",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03062",
            "telephone_number": "603-881-9990",
            "fax_number": "603-881-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-881-9990",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "02574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.