PERFORMAX LLC NPI 1538276407

NPI Information

  • NPI: 1538276407
  • Provider Name: PERFORMAX, LLC
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Organization
  • Doing Business As: FYZICAL THERAPY & BALANCE CENTERS
  • Address: 22118 20TH AVE SE
    SUITE 139
    BOTHELL, WA
    ZIP 98021
  • Phone: (425) 485-5444

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NPI Details

PERFORMAX, LLC is an orthopedic physical therapist in Bothell, WA. 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. PERFORMAX, LLC NPI is 1538276407. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fyzical Therapy & Balance Centers.

The provider's business location address is:

22118 20TH AVE SE
SUITE 139
BOTHELL, WA
ZIP 98021
Phone: (425) 485-5444
Fax: (425) 485-5588

The provider's authorized official is Ramanathan Supramanian .
The authorized official title is Business Owner and has the following contact phone number (425) 485-5444.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 2/23/2024.

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
12251X0800XPhysical TherapistOrthopedicYes

What is NPI?

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This page was last updated on: 11/21/2025

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