Active NPI
Performax Physical Therapy, Inc
- Physical Therapist
- Monroe, MI
National Provider Identifier
1891702411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PERFORMAX PHYSICAL THERAPY, INC
- Practice address
- 1048 N. Monroe St.
Monroe, MI 48162 - Phone
- (734) 241-1400
- Fax
- (734) 241-1414
- NPI assigned
- Aug 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica A. Mannino
- Title
- Owner
- Phone
- (734) 241-1400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
1048 N. Monroe St.
Monroe, MI 48162
Mailing address
1048 N. Monroe St.
Monroe, MI 48162
Phone (734) 241-1400
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
Member Of
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Brighton, MI
- NPI 1336150622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319673600000",
"number": "1891702411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1048 N. MONROE ST.",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-241-1400",
"fax_number": "734-241-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1048 N. MONROE ST.",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-241-1400",
"fax_number": "734-241-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMAX PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2011-10-27",
"status": "A",
"authorized_official_last_name": "MANNINO",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-241-1400"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.