PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC (NPI# 1376140566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376140566 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC |
| Practice Address |
70 Post Office Park Ste 7007 Wilbraham MA 01095-1291 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 4132791435 |
| Practice Fax Number | 4132791438 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | MR. MATT KIRK (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7087109931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| ATI Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164723391 | Performance Rehabilitation of Western New England LLC | Occupational Therapist | 25 Bridge Street, Belchertown, MA 01007-8909 | 2010-11-04 |
| 1710919063 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 124 Myron St, West Springfield, MA 01089-1420 | 2006-07-07 |
| 1972986073 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 65 Springfield Rd, Westfield, MA 01085 | 2015-07-07 |
| 1992182695 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 65 Springfield Rd, Westfield, MA 01085-1855 | 2015-05-01 |
| 1083949861 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 70 Post Office Park, Suite 7007, Wilbraham, MA 01095-1287 | 2009-10-12 |
| 1447445523 | Performance Rehabilitation of Western New England LLC | Physical Therapist | 300 Birnie Ave, Suite 304, Springfield, MA 01107 | 2007-09-11 |
| 1740345818 | Performance Rehabilitation of Western New England LLC | Occupational Therapist | 168 Denslow Rd, East Longmeadow, MA 01028-3188 | 2006-12-27 |
| Street Address |
70 POST OFFICE PARK STE 7007 |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-1291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275051013 | Michael James Laviolette II | Physical Therapist | 70 Post Office Park Ste 7007, Wilbraham, MA 01095-1291 | 2017-08-31 |
| 1508351644 | Samuel Clarke | Physical Therapist | 70 Post Office Park Ste 7007, Wilbraham, MA 01095-1291 | 2018-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436619 | Amanda M Bryant | Nurse Practitioner | 70 Pst Office Park, Wilbraham, MA 01095 | 2017-06-06 |
| 1568867539 | Michael Roy | Physical Therapist | 2301 Boston Rd, Wilbraham, MA 01095 | 2014-11-03 |
| 1588925440 | Jeziel Miguel Gonzalez | Physical Therapist | 6 Colonial Rd, Wilbraham, MA 01095 | 2012-06-06 |
| 1306117783 | Rosemary Wrona | Physical Therapist | 2 Lodge Ln, Wilbraham, MA 01095 | 2012-01-18 |
| 1356508584 | Big Y Foods Inc | Pharmacy | 2035 Boston Rd, Wilbraham, MA 01095 | 2008-05-16 |
| 1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
| 1346315140 | Mary Beth Laliberte | Physician Assistant | 2040 Boston Rd Ste 5, Wilbraham, MA 01095 | 2006-11-21 |
| 1003993668 | Anita Chopra | Dentist | 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 | 2006-11-01 |
| 1558461525 | Cynthia A Kennedy | Nurse Practitioner | 34 Sandalwood Dr, Wilbraham, MA 01095 | 2006-09-22 |
| 1063447357 | Susan W James | Social Worker | 919 Main St., Wilbraham, MA 01095 | 2006-07-12 |
| Find all providers in zip 01095 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053559740 | Mwa, PC | Durable Medical Equipment & Medical Supplies | 70 Post Office Park, Wilbraham, MA 01095 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548761 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 40 Speen St Ste 101, Framingham, MA 01701-1898 | 2020-11-03 |
| 1194324061 | Pharmagears LLC | Durable Medical Equipment & Medical Supplies | 1600 Providence Hwy Ste 221, Walpole, MA 02081-2553 | 2020-10-21 |
| 1922605344 | Anchor Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 409 Cabot St Ste 8, Beverly, MA 01915-3175 | 2020-10-08 |
| 1932719226 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 500 Geneva Ave, Dorchester, MA 02122-1321 | 2020-08-03 |
| 1861001489 | Phephi Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 215 Salem St Ste 13, Woburn, MA 01801-2070 | 2020-07-29 |
| 1144848755 | New England Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 6 N Main St Ste 303, Uxbridge, MA 01569-1871 | 2020-07-09 |
| 1154947869 | Haverhill Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 89 Kenoza Ave Fl 3, Haverhill, MA 01830-4132 | 2020-06-18 |
| 1386269488 | Dts Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 186 Charles St Unit 5, Waltham, MA 02453-4263 | 2020-06-15 |
| 1801410485 | Analia Home Health Care Services, LLC | Durable Medical Equipment & Medical Supplies | 205 Quincy St Unit 4, Brockton, MA 02302-2926 | 2020-05-30 |
| 1144843822 | Intrinsic Therapeutics | Durable Medical Equipment & Medical Supplies | 30 Commerce Way, Woburn, MA 01801-8503 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
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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.