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PERFORMANCE BACK NPI 1629241856


NPI Information

NPI: 1629241856
Provider Name: PERFORMANCE BACK
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
175 S UNION BLVD
SUITE 230
COLORADO SPRINGS, CO
ZIP 80910
Phone: (719) 473-7478
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PERFORMANCE BACK is a rehabilitation practitioner in Colorado Springs, CO. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. PERFORMANCE BACK NPI is 1629241856. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

175 S UNION BLVD
SUITE 230
COLORADO SPRINGS, CO
ZIP 80910-113
Phone: (719) 473-7478
Fax: (719) 473-7479

The provider's authorized official is Paul Michael Leahy .
The authorized official title is Owner and has the following contact phone number (719) 473-7000.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 4/9/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225400000XRehabilitation PractitionerYes

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: 4/28/2024

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.