PERFORMANCE SPINE AND SPORTS MEDICINE OF NEWTOWN, LLC


Address: 828 Newtown Yardley Road, A, Newtown, PA 18940
Phone: 6095888600

PERFORMANCE SPINE AND SPORTS MEDICINE OF NEWTOWN, LLC (NPI# 1578848651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578848651
Entity Type Organization
Organization Name PERFORMANCE SPINE AND SPORTS MEDICINE OF NEWTOWN, LLC
Practice Address 828 Newtown Yardley Road
A
Newtown
PA 18940
Practice Telephone 6095888600
Practice Fax Number 6095888602
Mailing Telephone 6095888600
Mailing Fax Number 6095888602
Enumeration Date 2011-10-20
Last Update Date 2012-01-11
Authorized Official Name MR. MAREK SULZYNSKI (ADMINISTRATOR)
Authorized Official Telephone 6095888600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
25MA08725900 NJ Allopathic & Osteopathic Physicians
N 225100000X Physical Therapist 40QA01357000 NJ Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225100000X Physical Therapist MD019816 PA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
MD433529 PA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104161884 Performance Spine and Sports Medicine of Newtown, LLC Durable Medical Equipment & Medical Supplies 828a Newtown Yardley Rd, Newtown, PA 18940-4012 2012-12-06

Office Location

Street Address 828 NEWTOWN YARDLEY ROAD
A
City NEWTOWN
State PA
Zip Code 18940

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629679915 Natick Counseling Clinic/Center 41 University Drive, Suite 428, Newtown, PA 18940 2020-11-04
1952916736 Patrick J Rush Podiatrist 24 Woodstock Drive, Newtown, PA 18940 2020-09-09
1124596275 Deborah O'brien Counselor Robin Downs & Associates (second Floor), 2189 Second Street Pike, Newtown, PA 18940 2018-11-07
1841788635 Elevation Homecare Agency LLC In Home Supportive Care 12 Penns Trl Ste 152, Newtown, PA 18940 2018-04-26
1811498876 Rachel Anne Cohen Social Worker 8 Skyview Way, Newtown, PA 18940 2018-02-26
1609306224 Kenneth Myers Jr. Registered Nurse 73 King Charles Lane, Newtown, PA 18940 2017-06-15
1245787514 Kristine Kroll Occupational Therapist 94 Richboro Rd Bldg 2, Newtown, PA 18940 2016-09-05
1033569496 Kristi M Mahan Physician Assistant 760 Newtown Yardley Rd Ste 115, Newtown, PA 18940 2016-06-16
1942671441 Margiotti & Kroll Pediatrics, PC Speech-Language Pathologist 31 Cambridge Lane, Suite A, Newtown, PA 18940 2015-10-12
1679982128 Kelly Corbitt Social Worker 17 Barclay Street, Building A, Newtown, NJ 18940 2014-08-08
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326271081 Optimal Wellness & Body Sculpting LLC Physical Medicine & Rehabilitation 2132 S Eagle Rd, Newtown, PA 18940-1579 2009-08-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902219702 Kyle Matthew Weiss Physical Medicine & Rehabilitation 501 Cetronia Rd Ste 125, Allentown, PA 18104-9569 2014-06-09
1558771089 Christian Boris Acharte Physical Medicine & Rehabilitation 700 Horizon Circle Ste 206, Chalfont, PA 18914-3967 2014-05-06
1649618349 David Stephen Mills Physical Medicine & Rehabilitation 8775 Norwin Ave Ste 108, North Huntingdon, PA 15642 2013-06-05
1306184858 Lighthouse Medical, LLC Physical Medicine & Rehabilitation 301 E. Pleasant Valley Blvd, Altoona, PA 16602 2013-01-17
1710243787 Alcinto Steven Guirand Physical Medicine & Rehabilitation 1450 Scalp Ave Ste 2100, Johnstown, PA 15904-3374 2012-04-04
1588974588 Greater Philadelphia Pain Management Center PC Physical Medicine & Rehabilitation 104 Bailey Dr, North Wales, PA 19454-4526 2010-10-12
1245545813 Maureen Murphy Ginsburg Physical Medicine & Rehabilitation 551 W Mahoning St, Punxsutawney, PA 15767 2010-08-08
1205071297 Bethia A. Cawley Physical Medicine & Rehabilitation 2804 Southampton Rd, Philadelphia, PA 19154-1207 2008-12-05
1891953188 Paris Hughes Physical Medicine & Rehabilitation 2447 N 54th St, Philadelphia, PA 19131-2423 2008-05-23
1932382595 Lighthouse Medical, LLC Physical Medicine & Rehabilitation 301 E. Pleasant Valley Blvd., Altoona, PA 16602 2007-12-06
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Competitor

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City NEWTOWN
Zip Code 18940

Improve Information

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Dataset Information

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.

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