Provider Demographics
NPI:1619636297
Name:PURSUIT PHYSIOTHERAPY AND PERFORMANCE, LLC
Entity Type:Organization
Organization Name:PURSUIT PHYSIOTHERAPY AND PERFORMANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:LINEBERGER
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, FAAOMPT
Authorized Official - Phone:704-340-8045
Mailing Address - Street 1:603 UNION ST
Mailing Address - Street 2:
Mailing Address - City:MAIDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28650-1431
Mailing Address - Country:US
Mailing Address - Phone:704-340-8045
Mailing Address - Fax:
Practice Address - Street 1:603 UNION ST
Practice Address - Street 2:
Practice Address - City:MAIDEN
Practice Address - State:NC
Practice Address - Zip Code:28650-1431
Practice Address - Country:US
Practice Address - Phone:704-340-8045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty