Provider Demographics
NPI:1669043774
Name:ADVANCED PERFORMANCE THERAPY
Entity Type:Organization
Organization Name:ADVANCED PERFORMANCE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:929-841-1998
Mailing Address - Street 1:2051 BALDWIN RD STE 110
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4047
Mailing Address - Country:US
Mailing Address - Phone:929-841-1998
Mailing Address - Fax:
Practice Address - Street 1:2051 BALDWIN RD STE 110
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4047
Practice Address - Country:US
Practice Address - Phone:929-841-1998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty