PERFORMANCE ZONE SPORTS AND ORTHOPEDIC PHYSICAL THERAPY INC. (NPI# 1558495762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558495762 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE ZONE SPORTS AND ORTHOPEDIC PHYSICAL THERAPY INC. |
| Practice Address |
2138 Lancaster Dr Ne Suite 103 Salem OR 97305-1227 |
| Practice Telephone | 5033714800 |
| Practice Fax Number | 5033714801 |
| Mailing Telephone | 5033714800 |
| Mailing Fax Number | 5033714801 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | MR. DARYL LEON IVINS (CLINIC DIRECTOR) |
| Authorized Official Telephone | 5033714800 |
| 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 |
3584 | OR | Ambulatory Health Care Facilities |
| Street Address |
2138 LANCASTER DR NE SUITE 103 |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518448 | Shira Lauren Dragun | Clinic/Center | 63 1/2 Jefferson Ave, Salem, MA 01970-2975 | 2020-11-03 |
| 1548736028 | Vibrance Physical Therapy LLC | Clinic/Center | 3295 Triangle Dr Se Ste 140, Salem, OR 97302-4566 | 2018-10-22 |
| 1881850634 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1051 Stamp Creek Rd, Salem, SC 29676-4516 | 2008-07-31 |
| 1063437747 | Apex Physical Therapy, LLC | Clinic/Center | 1875 W Main St, Salem, IL 62881-5839 | 2006-07-13 |
| 1467450437 | Richfield Wellness and Rehab, Inc. | Clinic/Center | 3737 W Main St, Salem, VA 24153-2072 | 2005-07-13 |
| 1124630850 | Kevin Carl Manabe Coriano | Clinic/Center | 631 Jason St Ne, Salem, OR 97301-2357 | 2020-08-24 |
| 1861003287 | Kevin Carl Manabe Coriano | Clinic/Center | 631 Jason St Ne, Salem, OR 97301-2357 | 2020-08-10 |
| 1225214539 | Select Physical Therapy Holdings Inc | Clinic/Center | 7 Stiles Rd, Suite 104, Salem, NH 03079-4881 | 2008-01-16 |
| 1275738221 | Total Life Physical Therapy LLC | Clinic/Center | 5 Public Sq, Salem, IN 47167-2050 | 2007-06-19 |
| 1659403541 | Silverio Physical Therapy | Clinic/Center | 2308 Southeast Blvd, Salem, OH 44460-3418 | 2007-03-09 |
| Find all providers in SALEM | ||||
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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.