PERFORMANCE REHAB, INC – NPI #1568455889
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

PERFORMANCE REHAB, INC is an AHC clinic located in RIDGELAND, MS. NPPES has assigned the NPI number 1568455889 to PERFORMANCE REHAB, INC on August 23, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Physical Therapy

The NPI profile was previously updated about 9 years ago on Nov 16, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PERFORMANCE REHAB, INC below.

NPI Profile for
PERFORMANCE REHAB, INC

NPI Number
1568455889
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PERFORMANCE REHAB, INC
Primary location
950 EAST COUNTYLINE ROAD
SUITE A
RIDGELAND, MS 39157
Phone: (601) 308-5117 Fax: (601) 308-5103
Mailing address
PO BOX 720610
BYRAM, MS 39272-0610
Phone: (601) 308-5117 Fax: (601) 308-5103
Organization Subpart
No
Authorized Official
SUZANNE WALTERS
CEO
Phone: (601) 308-5117
Updated
Identifiers

Identifiers for PERFORMANCE REHAB, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNA PIN #MS0007769666
MEDICAIDMS09326565
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2000X
- Clinic/Center / Physical Therapy (Primary)
MS 0524742
261QX0100X
- Clinic/Center / Occupational Medicine
MS 0524742

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.