PERFORMANCE REHAB (NPI# 1043436561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043436561 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE REHAB |
| Other Organization Name | PERFORMANCE ORTHOPEDICS EAST LLC |
| Practice Address |
2303 Hollywood Blvd Hollywood FL 33020-6711 |
| Mailing Address |
721 Se 17th St Ste 104 Ft Lauderdale FL 33316-2983 |
| Practice Telephone | 9547653200 |
| Mailing Telephone | 9547653200 |
| Mailing Fax Number | 9547653206 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRIAN MEVORAH (CEO) |
| Authorized Official Telephone | 9547653200 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MM18935 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Performance Orthopedics East LLC | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PERFORMANCE REHAB 2, LLC | 204 E. Charles St., Oelwein, IA 50662 |
| System for Award Management (SAM) Entities | PERFORMANCE REHAB CLINIC-SALT LAKE | 7827 S Highland Dr, Cottonwood Heights, UT 84121-5032 |
| Connecticut Business Registrations | PERFORMANCE REHAB PRODUCTS LLC | 23 Lane St, Kent, CT 06757 |
| Iowa Business Entities | PERFORMANCE REHAB, LLC | 204 E. Charles St., Oelwein, IA 50662 |
| Street Address |
2303 HOLLYWOOD BLVD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-6711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467483602 | Norman Moskowitz | Orthopaedic Surgery | 2303 Hollywood Blvd, Hollywood, FL 33020 | 2006-07-05 |
| 1770033342 | Serenity Behavioral Health, LLC | Non-Pharmacy Dispensing Site | 2303 Hollywood Blvd, Suite 12, Hollywood, FL 33020-6711 | 2016-10-07 |
| 1902143530 | Hollywood Dental Care | Dentist | 2303 Hollywood Blvd, Suite 14, Hollywood, FL 33020-6711 | 2013-01-16 |
| 1255682928 | G&d Billing and Auditing Services LLC | Technician, Other | 2303 Hollywood Blvd, 10, Hollywood, FL 33020-6711 | 2012-09-21 |
| 1023365624 | Serenity Behavioral Health LLC | Psychologist | 2303 Hollywood Blvd, Suite 12, Hollywood, FL 33020-6711 | 2012-08-14 |
| 1437440237 | Broward Physicians Group of Florida, LLC | Clinic/Center | 2303 Hollywood Blvd, Hollywood, FL 33020-6711 | 2011-04-27 |
| 1225330947 | Leronne Jeanette Ravid | Counselor | 2303 Hollywood Blvd, 12, Hollywood, FL 33020-6711 | 2010-12-01 |
| 1649588757 | Infinite Behavioral Health | Psychologist | 2303 Hollywood Blvd, Suite 1 and 2, Hollywood, FL 33020-6711 | 2010-09-23 |
| 1316101496 | Orthopaedic Rehab Ergonmics | Internal Medicine | 2303 Hollywood Blvd, Hollywood, FL 33020 | 2008-07-17 |
| 1144356296 | Hollywood Pt Associates, Inc. | Clinic/Center | 2303 Hollywood Blvd, Hollywood, FL 33020-6711 | 2007-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364408 | Nina Zwaig | Massage Therapist | 5648 Fillmore St, Hollywood, FL 33021-6229 | 2020-10-21 |
| 1497354351 | Andrea Lisset Hurst | Massage Therapist | 550 S Park Rd Apt 8-38, Hollywood, FL 33021-8503 | 2020-10-21 |
| 1548875420 | Debra Ruiz | Massage Therapist | 3791 Nw 78th Ave, Hollywood, FL 33024-8371 | 2020-09-09 |
| 1427662824 | Jelena Lukitsjova | Massage Therapist | 821 N 20th Ave # 5, Hollywood, FL 33020-3501 | 2020-09-02 |
| 1275008849 | Arturo S. Vega | Massage Therapist | 2750 N 29th Ave Ste 312, Hollywood, FL 33020-1519 | 2018-10-09 |
| 1891293916 | Estela Mabel Vatri | Massage Therapist | 2640 Pierce St Apt 7, Hollywood, FL 33020-3875 | 2018-01-23 |
| 1922535566 | Marlene Maheux | Massage Therapist | 1130 N 57th Ave Apt A, Hollywood, FL 33021-5110 | 2017-05-14 |
| 1457890725 | Evelyn Alcaide | Massage Therapist | 5407 Hollywood Blvd Apt 1, Hollywood, FL 33021-6442 | 2017-02-19 |
| 1720522642 | James Acce | Massage Therapist | 4622 Hollywood Blvd, Hollywood, FL 33021 | 2016-12-12 |
| 1326437948 | Pedro Velazquez Jr. | Massage Therapist | 1900 Van Buren St Apt 303, Hollywood, FL 33020-5010 | 2015-01-20 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.