PERFORMANCE ONE (NPI# 1508933870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508933870 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE ONE |
| Other Organization Name | PERFORMANCE ONE SPORTS MARKETING AND MANAGEMENT |
| Practice Address |
1768 Park Center Dr Suite 360 Orlando FL 32835-6200 |
| Practice Telephone | 4072902471 |
| Mailing Telephone | 4072902471 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRYAN WHITEHURST (DIRECTOR OF SPORTS MEDICINE) |
| Authorized Official Telephone | 4072902471 |
| Authorized Official Credential | ATC, LAT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225400000X | Rehabilitation Practitioner | AL 1542 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 1542 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Performance One Sports Marketing and Management | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PERFORMANCE ONE AUTOMOTIVE, LLC | 1105 N. 13th Ave. E, Newton, IA 50208 |
| North Carolina Corporations | Performance One Electrical Services Inc. | 4555 Deanna Ct, Merritt Island, FL 32953 |
| Colorado Business Entities | Performance One Media LLC | 13276 E Fremont Place, Centennial, CO 80112 |
| Washington State Corporations | PERFORMANCE ONE SPORTS TRAINING, LLC | 3217 36th Ave South, Seattle, WA 98144 |
| Street Address |
1768 PARK CENTER DR SUITE 360 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285697920 | Andrea Suzanne Harrison | Specialist/Technologist | 1768 Park Center Dr, Ste. 200, Orlando, FL 32835-6200 | 2006-04-11 |
| 1558507574 | Womens Care Florida LLP | Obstetrics & Gynecology | 1768 Park Center Dr, # 370, Orlando, FL 32835-6200 | 2008-12-22 |
| 1588823728 | Orlando Pain & Medical Rehabilitation, Mw, LLC | Physical Medicine & Rehabilitation | 1768 Park Center Dr, Suite Number 200, Orlando, FL 32835-6200 | 2008-06-03 |
| 1659562957 | St. Anthony's Family Medical Practice M.d. | Clinic/Center | 1768 Park Center Dr, Orlando, FL 32861 | 2007-08-05 |
| 1356467930 | Surendra Gopal Sirivolu | Dentist | 1768 Park Center Dr, Suite # 230, Orlando, FL 32835-6200 | 2007-03-22 |
| 1285731489 | Anthony Alatriste Md Pa Family Medicine | General Practice | 1768 Park Center Dr, Ste 200, Orlando, FL 32835-6200 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534062 | Gerald Weisman | Rehabilitation Practitioner | 3949 Salmon Dr, Orlando, FL 32835-2630 | 2020-09-24 |
| 1790853620 | Bryan Whitehurst | Rehabilitation Practitioner | 1786 Park Central Dr, Suite 360, Orlando, FL 32835 | 2006-11-30 |
| 1629580584 | Selys Yalexi Rivera-reyes | Rehabilitation Practitioner | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809-5734 | 2017-11-01 |
| 1245470509 | David Talarico | Rehabilitation Practitioner | 5287 Alhambra Dr, Orlando, FL 32808-7203 | 2009-02-26 |
| 1578700605 | Maceo Howell | Rehabilitation Practitioner | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2009-01-12 |
| 1184861346 | Robert Hare | Rehabilitation Practitioner | 4501 Vineland Rd, Suite 103, Orlando, FL 32811-7375 | 2009-01-09 |
| 1558412346 | Ralph G. Marino | Rehabilitation Practitioner | 5287 Alhambra Dr, Orlando, FL 32808-7203 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1215491287 | Jessika Wojciechowski | Rehabilitation Practitioner | 12382 Blue Stream Dr, Jacksonville, FL 32224-6671 | 2019-01-24 |
| 1225503113 | Home Care Accelerated,llc | Rehabilitation Practitioner | 901 Sw Martin Downs Blvd Ste 212, Palm City, FL 34990-2861 | 2018-10-08 |
| 1043728355 | Live Stronger Bus | Rehabilitation Practitioner | 8602 Temple Terrace Hwy, D-36, Tampa, FL 33637-5802 | 2018-01-21 |
| 1467979963 | Cascades Therapy Services Inc | Rehabilitation Practitioner | 3551 Spider Lily Way, Tallahassee, FL 32311-1660 | 2017-08-24 |
| 1295101764 | Management Layr | Rehabilitation Practitioner | 7200 W Commercial Blvd Ste 204, Lauderhill, FL 33319 | 2015-08-19 |
| 1952748709 | D&d Rehab Center, Inc | Rehabilitation Practitioner | 3412 W 84th St Unit E106, Hialeah, FL 33018-4918 | 2013-06-03 |
| 1255675641 | Lincare Pulmonary Rehab Services of Florida, P.l. | Rehabilitation Practitioner | 1009 Maitland Center Commons Blvd Ste 209, Maitland, FL 32751-7270 | 2012-11-26 |
| 1053663518 | Quality Health & Wellness Center Copr | Rehabilitation Practitioner | 2460 Sw 137th Ave Ste 249, Miami, FL 33175-6399 | 2012-10-09 |
| 1376807610 | Lincare Pulmonary Rehab Services of Florida, Pl | Rehabilitation Practitioner | 823 Dunlawton Ave Ste A, Port Orange, FL 32127-4221 | 2012-07-02 |
| 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.