NPIMap

Organization Active NPI

Performance Unlimited by Dan Glatz LLC

  • Physical Therapy Clinic/Center
  • Wexford, PA
National Provider Identifier
1952605016
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT011622L Issued in PA
Legal business name
PERFORMANCE UNLIMITED BY DAN GLATZ LLC
Practice address
119 Neely School Rd
Wexford, PA 15090-7536
Phone
(724) 816-3583
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Mr. Daniel W. Glatz, MS, MPT, ATCNPI 1770892820
Title
Owner
Phone
(724) 816-3583

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT011622L PA Primary
Rehabilitation Clinic/Center 261QR0400X PT011622L PA

Addresses

Primary practice location

119 Neely School Rd
Wexford, PA 15090-7536

Mailing address

PO Box 1425
Cranberry TWP, PA 16066-0425
Phone (724) 816-3583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121211000160 PA Part B Supplier - Clinic/Group Practice 2062664436 Receives reassigned benefits from 5 practitioners
Practice locations: Wexford, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1952605016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1425",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160660425",
            "telephone_number": "724-816-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEELY SCHOOL RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907536",
            "telephone_number": "724-816-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE UNLIMITED BY DAN GLATZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "GLATZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-816-3583",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT011622L",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PA",
            "license": "PT011622L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.