| Performance Enhancement Professionals Llc | |
|
1255 S State St, Suite 7, Dover, DE 19901-6932 | |
| (302) 423-0236 | |
| Not Available |
| Full Name | Performance Enhancement Professionals Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Sports |
| Location | 1255 S State St, Dover, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417361197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | J1-0000429 (Delaware) | Primary |
| Provider Name | Glenn P Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114980877 PECOS PAC ID: 2264425289 Enrollment ID: I20071025000546 |
| Provider Name | Katherine Monahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033480025 PECOS PAC ID: 9739349358 Enrollment ID: I20120319000730 |
| Provider Name | Robert Price |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407105265 PECOS PAC ID: 5799935284 Enrollment ID: I20121018000091 |
| Provider Name | Jessica Alyn Clausen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962883223 PECOS PAC ID: 8426360322 Enrollment ID: I20150707001490 |
| Provider Name | Rachel C Daniels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093204935 PECOS PAC ID: 4880940444 Enrollment ID: I20180712000336 |
| Provider Name | Sydney Boyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598245359 PECOS PAC ID: 0840542759 Enrollment ID: I20181003003790 |
| Provider Name | Nicholas Gruwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801486857 PECOS PAC ID: 5092129106 Enrollment ID: I20210202000737 |
| Provider Name | Blake Charles Mann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104493089 PECOS PAC ID: 7810397635 Enrollment ID: I20210616002159 |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Enhancement Professionals Llc 71 Mcbry Dr, Dover, DE 19901-4407 Ph: (302) 423-0236 | Performance Enhancement Professionals Llc 1255 S State St, Suite 7, Dover, DE 19901-6932 Ph: (302) 423-0236 |
Adrianne Greene, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 Fax: 302-677-0267 | |
Ms. Amy Kathryn Tullis, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Commerce Way, Suite 101, Dover, DE 19904 Phone: 302-734-8000 | |
Jihwan Jeong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 | |
Matthew Vassalotti, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 Fax: 302-677-0267 | |
Kathy Tompkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 Forest St, Dover, DE 19904 Phone: 302-672-1500 | |
Christine Marie Reynolds, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Walker Rd, Dover, DE 19904 Phone: 302-735-8800 | |
Katherine Marie Monahan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 |