Performance Physical Medicine

LBN: Performance Physical Medicine
Performance Physical Medicine is an health care organization with primary practice located at 150 Union Ave Fl 2 , East Rutherford NJ 07073-1917. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty. Performance Physical Medicine can be contacted via phone (201) 414-9545, or through Wraith, Brian Michael via phone (914) 661-8444.

Contact Information

Primary practice address
150 Union Ave Fl 2 East Rutherford NJ 07073-1917
Phone: (201) 414-9545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wraith, Brian Michael Doctor of Chiropractic (DC)
Phone: (914) 661-8444

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Other Service Providers / Acupuncturist 171100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1578141818
LBN Legal business name Performance Physical Medicine
DBA Doing business as
Authorized official Wraith, Brian Michael Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2021
Last updated Mar 30th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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