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PERFORMANCE PHYSICAL MEDICINE NPI 1578141818


NPI Information

NPI: 1578141818
Provider Name: PERFORMANCE PHYSICAL MEDICINE
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
150 UNION AVE FL 2
EAST RUTHERFORD, NJ
ZIP 07073
Phone: (201) 414-9545
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PERFORMANCE PHYSICAL MEDICINE is a chiropractor in East Rutherford, NJ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PERFORMANCE PHYSICAL MEDICINE NPI is 1578141818. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

150 UNION AVE FL 2
EAST RUTHERFORD, NJ
ZIP 07073-917
Phone: (201) 414-9545

The provider's authorized official is Brian Michael Wraith .
The authorized official title is President and has the following contact phone number (914) 661-8444.

The enumeration date for this NPI number is 3/30/2021 and was last updated on 3/30/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistNo
2225100000XPhysical TherapistNo
3225700000XMassage TherapistNo
4111N00000XChiropractorYes

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: 11/14/2023

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