Provider Demographics
NPI:1407565161
Name:POWERMILL PERFORMANCE, LLC
Entity Type:Organization
Organization Name:POWERMILL PERFORMANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:716-472-9598
Mailing Address - Street 1:121 OVERTON RIDGE CIR # US
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76088-7847
Mailing Address - Country:US
Mailing Address - Phone:716-472-9598
Mailing Address - Fax:
Practice Address - Street 1:121 OVERTON RIDGE CIR # US
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76088-7847
Practice Address - Country:US
Practice Address - Phone:716-472-9598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty