PERFORMANCE PHYSICAL THERAPY, PC (NPI# 1447762661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447762661 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE PHYSICAL THERAPY, PC |
| Other Organization Name | PREMIER PHYSICAL THERAPY |
| Practice Address |
124 Oak St Anaconda MT 59711-2335 |
| Mailing Address |
825 Sagebrush Ln Ste 1 Deer Lodge MT 59722-2320 |
| Practice Telephone | 4068467770 |
| Practice Fax Number | 4068467771 |
| Mailing Telephone | 4068467771 |
| Mailing Fax Number | 4068467771 |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | ERIC SHANE SPEARS (OWNER) |
| Authorized Official Telephone | 4065431546 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578756813 | Performance Physical Therapy, PC | Specialist | 2661 Clearview Rd, Allison Park, PA 15101-3180 | 2007-08-21 |
| 1033234745 | Performance Physical Therapy, PC | Physical Therapist | 909 Eagles Landing Pkwy Ste 430, Stockbridge, GA 30281-6398 | 2007-03-20 |
| 1043259724 | Performance Physical Therapy, PC | Clinic/Center | 600 Main St, Deer Lodge, MT 59722-1440 | 2006-06-06 |
| Street Address |
124 OAK ST |
| City | ANACONDA |
| State | MT |
| Zip Code | 59711-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861585606 | Deann Rachel Johnson | Physical Therapist | 124 Oak St, Anaconda, MT 59711-2335 | 2006-10-02 |
| 1407228976 | Tina Ueland | Massage Therapist | 124 Oak St, Anaconda, MT 59711-2335 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398725 | Wendra Ann Wendt | Massage Therapist | 1608 Ogden St, Anaconda, MT 59711 | 2020-08-28 |
| 1104325372 | Pintler Pharmacy Inc. | Pharmacy | 203 East Park, Anaconda, MT 59711 | 2018-02-02 |
| 1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
| 1356765747 | William Leroy Foster Jr. | Counselor | 1250 Harrison Ave, Butte, MT 59711 | 2014-02-06 |
| 1346464310 | Cheryl Anne Dunn | Speech-Language Pathologist | 1771 Obsidian Lane, Anaconda, MT 59711 | 2007-04-12 |
| 1043304504 | Gerianne Roberta Marchion | Counselor | 307 E Park Ave. #208, Anaconda, MT 59711 | 2006-10-02 |
| 1427153881 | Community Hospital of Anaconda | Internal Medicine | 401 W Pennsylvania, Anaconda, MT 59711 | 2006-09-13 |
| 1851301121 | Renee S. Riley-finnegan | Counselor | 307 E. Park Glacier Bank Bldg., Ste. 310a, Anaconda, MT 59711 | 2006-08-09 |
| 1942234513 | Richard Roy Jensen | Physical Therapist | 3383 Lost Creek Rd, Anaconda, MT 59711 | 2006-07-10 |
| 1982656229 | William M Reiter | Internal Medicine | 606 E Park Ave, Anaconda, MT 59711 | 2006-05-16 |
| Find all providers in zip 59711 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184187916 | Jensen Physical Therapy, Pllc | Clinic/Center | 3383 Lost Creek Rd, Anaconda, MT 59711-9216 | 2019-04-09 |
| 1093265035 | Community Hospital of Anaconda | Clinic/Center | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444252 | Central Montana Medical Facilities, Inc | Clinic/Center | 215 3rd St S, Stanford, MT 59479-9506 | 2020-10-13 |
| 1497361737 | Leaf Pediatric Therapy Clinic, LLC | Clinic/Center | 2675 Overland Ave Ste E, Billings, MT 59102-7450 | 2020-09-22 |
| 1457978983 | Glacier Peaks Mobile Physical Therapy | Clinic/Center | 880 Hodgson Rd, Columbia Falls, MT 59912-9026 | 2020-07-01 |
| 1902429442 | The Body Shop Physical Therapy | Clinic/Center | 117 East Wilson Avenue, Broadus, MT 59317 | 2020-05-19 |
| 1265065569 | J Miller Physical Therapy LLC | Clinic/Center | 308 W Pine St, Missoula, MT 59802-4120 | 2020-02-15 |
| 1124667571 | Carling & Associates Physical Therapy | Clinic/Center | 3845 Parkhill Dr, Billings, MT 59102-7557 | 2020-01-02 |
| 1942850227 | Physio Forge LLC | Clinic/Center | 413 S Bozeman Ave, Bozeman, MT 59715-4810 | 2019-09-18 |
| 1285289231 | Cutting Edge Orthopedic Physical Therapy | Clinic/Center | 1221 Echelon Pl Ste A, Helena, MT 59602-7695 | 2019-08-07 |
| 1497211585 | Dr. Kate Baker, Dpt LLC | Clinic/Center | 601 Montana Ave, Missoula, MT 59802-5529 | 2019-02-14 |
| 1306301601 | 406 Physical Therapy | Clinic/Center | 225 N Higgins Ave Ste B, Missoula, MT 59802-4434 | 2019-01-31 |
| 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.