NPIMap

Organization Active NPI

Per4Mance Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Claremore, OK
National Provider Identifier
1922355023
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PER4MANCE PHYSICAL THERAPY, LLC
Practice address
1500 N Sioux Ave
Claremore, OK 74017-7401
Phone
(918) 923-4700
Fax
(918) 923-4701
NPI assigned
Aug 7, 2012
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Brent Shane Foster, MPTNPI 1033194089
Title
Clinic Owner/ Physical Therapist
Phone
(918) 923-4700

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1500 N Sioux Ave
Claremore, OK 74017-7401

Mailing address

1500 N. Sioux Ave
Claremore, OK 74017-5085
Phone (918) 923-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121015000387 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375793086 Receives reassigned benefits from 3 practitioners
Practice locations: Claremore, OK

National Provider Directory

National Provider Directory

Locations

1500 N Sioux Ave
Claremore, OK 74017
Phone (918) 923-4700

224 S Brady St
Ste 109
Claremore, OK 74017
Phone (918) 342-6214

991 W Will Rogers Blvd
Claremore, OK 74017
Phone (918) 283-2992

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1922355023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N. SIOUX AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175085",
            "telephone_number": "918-923-4700",
            "fax_number": "918-923-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N SIOUX AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740177401",
            "telephone_number": "918-923-4700",
            "fax_number": "918-923-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PER4MANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CLINIC OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "918-923-4700",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.