Performance Physical Therapy, Inc. is a medicare enrolled "Physical Therapist" provider in Redlands, California. Their current practice location is
25864 Business Center Dr Ste C, Redlands, California. You can reach out to their office (for appointments etc.) via phone at
(909) 796-7700.
Performance Physical Therapy, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Performance Physical Therapy, Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1528176419.
Healthcare Provider's Profile
| Full Name | Performance Physical Therapy, Inc. |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 25864 Business Center Dr Ste C, Redlands, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528176419
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 04/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941236376
- Enrollment ID: O20050715001030
Medical Identifiers
Medical identifiers for Performance Physical Therapy, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528176419 | NPI | - | NPPES |
| OPT184841 | Other | CA | MEDICARE ID |
| OPT74550 | Other | CA | MEDICARE ID |
| OPT106731 | Other | CA | MEDICARE ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Performance Physical Therapy, Inc. acts as a billing entity for following providers:
| Provider Name | Peter C Lingas |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1942519178
PECOS PAC ID: 4789870502
Enrollment ID: I20101118001366 |
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| Provider Name | Christopher A Solarte |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1275931743
PECOS PAC ID: 1850651415
Enrollment ID: I20180131000707 |
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| Provider Name | Caitlin Terukina |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1073151213
PECOS PAC ID: 8628405859
Enrollment ID: I20200227000607 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Performance Physical Therapy, Inc. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Performance Physical Therapy, Inc.
Po Box 847,
Redlands, CA 92373-0261
Ph: (909) 796-7700 | Performance Physical Therapy, Inc.
25864 Business Center Dr Ste C,
Redlands, CA 92374-4515
Ph: (909) 796-7700 |
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