Performance Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT-1939 Issued in HI

Legal business name

PERFORMANCE PHYSICAL THERAPY LLC

Practice address

91-1488 Pukanala St
Ewa Beach, HI 96706-4678

Phone

(808) 308-5465

NPI assigned

Jun 30, 2006

Last updated

Jul 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Gregory Pahang, PT, DPT, LMTNPI 1215054663

Title

Owner/Doctor of Physical Therapy

Phone

(808) 308-5465

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mark Gregory Pahang, PT, DPT, LMT

  • Orthopedic Physical Therapist
  • Ewa Beach, HI
  • NPI 1215054663
  Authorized official Same address or phone
• Joy Hermosa Pahang, RN, MSN, CCM

  • Case Management Registered Nurse
  • Ewa Beach, HI
  • NPI 1568142016
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1891724175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970116",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970116",
            "telephone_number": "808-680-0600",
            "fax_number": "808-680-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1488 PUKANALA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064678",
            "telephone_number": "808-308-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "PAHANG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "808-308-5465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "PT-1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mary Pavlicek
• Rosemarie D Pe Benito
• Pegasus Transport LLC
• Erin Lin Pender, RD
• Kerilynn K K Perez
• Mary Pescador
• Kalif C Peter, MSN, AG-ACNP
• Tara Ann Petersen
• Rachel Pfund
• Lindsey Phillips

• Physical Therapy Clinic/Center in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Physical Therapy Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.