Organization Active NPI

Iperformance Center

  • Rehabilitation Clinic/Center
  • Destin, FL
National Provider Identifier
1871991240
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
IPERFORMANCE CENTER
Practice address
200 Calusa Blvd
Suite 300
Destin, FL 32541-5753
Phone
(850) 460-2024
Fax
(850) 460-7987
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Authorized official

Name
April M Margagliano
Title
Office Manager
Phone
(850) 460-2024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X FL Primary

Addresses

Primary practice location

200 Calusa Blvd
Suite 300
Destin, FL 32541-5753

Mailing address

200 Calusa Blvd
Suite 300
Destin, FL 32541-5753
Phone (850) 460-2024

Other identifiers 5

IdentifierTypeStateIssuer
735439OtherFLOPTUM HEALTH/UNITEDHEALTHCARE INDIVIDUAL
Y91AWOtherFLBLUE CROSS BLUE SHIELD
6923846OtherFLCIGNA
14370OtherFLOPTUM HEALTH/UNITEDHEALTHCARE GROUP
1871991240OtherFLTRICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150530000025 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365763588 Receives reassigned benefits from 1 practitioner
Practice locations: Destin, FL; Pensacola, FL

National Provider Directory

National Provider Directory

Locations

209 S A St
Pensacola, FL 32502
Phone (850) 533-0266

Practitioners & affiliated clinicians

Practitioners 8

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": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1871991240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CALUSA BLVD",
            "address_2": "SUITE 300",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415753",
            "telephone_number": "850-460-2024",
            "fax_number": "850-460-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CALUSA BLVD",
            "address_2": "SUITE 300",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415753",
            "telephone_number": "850-460-2024",
            "fax_number": "850-460-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPERFORMANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "MARGAGLIANO",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-460-2024"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH/UNITEDHEALTHCARE INDIVIDUAL",
            "identifier": "735439",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y91AW",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6923846",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH/UNITEDHEALTHCARE GROUP",
            "identifier": "14370",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1871991240",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.