Provider Type Icon

PRO PERFORMANCE PHYSICAL THERAPY AND WELLNESS PLLC NPI 1821262809


NPI Information

NPI: 1821262809
Provider Name: PRO PERFORMANCE PHYSICAL THERAPY AND WELLNESS, PLLC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
70 GLEN ST
SUITE 380
GLEN COVE, NY
ZIP 11542
Phone: (516) 277-1153
Get Directions

PRO PERFORMANCE PHYSICAL THERAPY AND WELLNESS, PLLC is an orthopedic physical therapist in Glen Cove, NY. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. PRO PERFORMANCE PHYSICAL THERAPY AND WELLNESS, PLLC NPI is 1821262809. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

70 GLEN ST
SUITE 380
GLEN COVE, NY
ZIP 11542-855
Phone: (516) 277-1153
Fax: (516) 277-1154

The provider's authorized official is Jonathan A Venegas .
The authorized official title is Member and has the following contact phone number (516) 277-1153.

The enumeration date for this NPI number is 4/21/2008 and was last updated on 10/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251N0400XPhysical TherapistNeurology015585-1NEW YORKNo
22251S0007XPhysical TherapistSports015585-1NEW YORKNo
32251X0800XPhysical TherapistOrthopedic015585-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A100000028MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.