Performance Rehab, Inc
LBN: Performance Rehab, Inc
Performance Rehab, Inc is an health care organization with primary practice located at 950 East Countyline Road Suite A, Ridgeland MS 39157. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Performance Rehab, Inc can be contacted via phone (601) 308-5117, or through Walters, Suzanne S via phone (601) 308-5117.
Contact Information
Primary practice address
950 East Countyline Road Suite A
Ridgeland MS 39157
Phone: (601) 308-5117
Fax: (601) 308-5103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 0524742 | Mississippi |
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X | 0524742 | Mississippi |
Profile Details
| NPI number | 1568455889 |
|---|---|
| LBN Legal business name | Performance Rehab, Inc |
| DBA Doing business as | |
| Authorized official | Walters, Suzanne S OTR L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Nov 16th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568455889 | NPPES |
| Mississippi | MEDICAID | 09326565 | |
| Mississippi | Other | 0007769666 |
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