| Performance Physical Therapy And Sports Rehabilitation Llc | |
|
9194 Red Branch Rd Ste J, Columbia, MD 21045-2005 | |
| (410) 997-2585 | |
| (410) 997-2586 |
| Full Name | Performance Physical Therapy And Sports Rehabilitation Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
| Location | 9194 Red Branch Rd Ste J, Columbia, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003313966 | NPI | - | NPPES |
| Provider Name | Thomas J Perone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073533592 PECOS PAC ID: 1052492618 Enrollment ID: I20080122000101 |
| Provider Name | Kerry Hite |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427327642 PECOS PAC ID: 5698917821 Enrollment ID: I20130816000650 |
| Provider Name | Daniel W Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073925954 PECOS PAC ID: 4284852435 Enrollment ID: I20140829000404 |
| Provider Name | Torie Mcintosh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487055653 PECOS PAC ID: 5496976045 Enrollment ID: I20141023000625 |
| Provider Name | Casey Bradford Beals |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699320283 PECOS PAC ID: 1355672999 Enrollment ID: I20220504000237 |
| Provider Name | Jennifer M Pelleg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275898421 PECOS PAC ID: 9436305943 Enrollment ID: I20240427000074 |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Physical Therapy And Sports Rehabilitation Llc 9194 Red Branch Rd Ste J, Columbia, MD 21045-2005 Ph: (410) 997-2585 | Performance Physical Therapy And Sports Rehabilitation Llc 9194 Red Branch Rd Ste J, Columbia, MD 21045-2005 Ph: (410) 997-2585 |