PERFORMAX PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC (NPI# 1376093906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376093906 |
| Entity Type | Organization |
| Organization Name | PERFORMAX PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC |
| Practice Address |
5501 Fortunes Ridge Dr Ste. L Durham NC 27713-6102 |
| Practice Telephone | 9197102681 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | DR. BRYAN LITTLEJOHN (OWNER) |
| Authorized Official Telephone | 9197102681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
11174 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073069035 | Performax Physical Therapy and Sports Rehabilitation, LLC | Clinic/Center | 8700 Walkelin Ct, Raleigh, NC 27615-4147 | 2016-08-30 |
| Street Address |
5501 FORTUNES RIDGE DR STE. L |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881761583 | The Center for Functional & Aesthetic Facial Surgery | Dentist | 5501 Fortunes Ridge Dr, Suite G, Durham, NC 27713-6102 | 2006-11-29 |
| 1255967139 | Christopher Allen Winans | Chiropractor | 5501 Fortunes Ridge Dr, Durham, NC 27713-6102 | 2020-03-23 |
| 1073149969 | Winans Chiropractic, Pllc | Chiropractor | 5501 Fortunes Ridge Dr, Durham, NC 27713-6102 | 2020-03-23 |
| 1215384730 | Jenn Vrieze | Behavioral Analyst | 5501 Fortunes Ridge Dr, Suite H, Durham, NC 27713-6102 | 2016-05-16 |
| 1477928620 | Katherine Charlotte Okoniewski | Psychologist | 5501 Fortunes Ridge Dr, Suite H, Durham, NC 27713-6102 | 2015-12-13 |
| 1477973394 | Erika Gagnon | Audiologist | 5501 Fortunes Ridge Dr, Ste. A, Durham, NC 27713-6102 | 2014-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009144 | Radiance Physical Therapy LLC | Clinic/Center | 9 Richmond Ct, Durham, NC 27713-8376 | 2020-09-30 |
| 1386250124 | Nicol Chiropractic Center | Clinic/Center | 7011 Fayetteville Rd Ste 106b, Durham, NC 27713-7745 | 2020-09-17 |
| 1902280829 | Acussage Wellness Therapy | Clinic/Center | 3208 Kirby St, Durham, NC 27713-1286 | 2015-07-10 |
| 1326425950 | Cpl Premier Therapy LLC | Clinic/Center | 205 Emerald Pond Ln #202, Durham, NC 27705-6051 | 2015-05-04 |
| 1700271871 | Emilee Billeaud | Clinic/Center | 1307 Glendale Ave, Durham, NC 27701-1921 | 2015-04-05 |
| 1699374124 | Whitten Physical Therapy LLC | Clinic/Center | 4300 Garrett Rd, Durham, NC 27707-3487 | 2020-10-26 |
| 1346862125 | Bodygames | Clinic/Center | 3823 Guess Rd, Durham, NC 27705-1505 | 2020-05-14 |
| 1083182265 | Kaizen Physical Therapy | Clinic/Center | 3326 Durham Chapel Hill Blvd Ste 230a, Durham, NC 27707-6266 | 2018-11-06 |
| 1407339534 | Above and Beyond Pt, Inc. | Clinic/Center | 1113 Branwell Dr, Durham, NC 27703-8366 | 2018-09-14 |
| 1942750435 | Wellness Station LLC | Clinic/Center | 3001 Academy Rd, Suite130, Durham, NC 27707-2660 | 2016-10-07 |
| Find all providers in DURHAM | ||||
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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.