Organization Name: | PERFORMAX PHYSICAL THERAPY WELLNESS, P.C. |
NPI Number: | 1710227715 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA BURKE (OWNER) |
Mailing Address: | 16 Van Cott Rd Suite 1e Deer Park |
State: | NY US |
Postal Code: | 117296519 |
Phone Number: | 6315866616 |
Fax Number: | 6315866617 |
NPI Enumeration Date: | 02/27/2013 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |