Active NPI
Performance and Function Physical Therapy
- Physical Therapist
- Lakewood Ranch, FL
National Provider Identifier
1962152363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PERFORMANCE AND FUNCTION PHYSICAL THERAPY
- Doing business as
- Perform Better Physical Therapy and Sports Training
- Practice address
- 12339 Hollybush Ter
Lakewood Ranch, FL 34202-2035 - Phone
- (941) 735-1523
- NPI assigned
- Mar 28, 2022
- 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
- Rene S Bourdeau
- Title
- Owner/ President
- Phone
- (941) 735-1523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
12339 Hollybush Ter
Lakewood Ranch, FL 34202-2035
Mailing address
12339 Hollybush Ter
Lakewood Ranch, FL 34202-2035
Phone (941) 735-1523
Other names 1
- Perform Better Physical Therapy and Sports Training
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648425600000",
"number": "1962152363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12339 HOLLYBUSH TER",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342022035",
"telephone_number": "941-735-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12339 HOLLYBUSH TER",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342022035",
"telephone_number": "941-735-1523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE AND FUNCTION PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A",
"authorized_official_last_name": "BOURDEAU",
"authorized_official_first_name": "RENE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/ PRESIDENT",
"authorized_official_telephone_number": "941-735-1523"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Perform Better Physical Therapy and Sports Training",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.