Provider Demographics
NPI:1710454475
Name:PERFORMANCE HEALTHCARE, P.C.
Entity Type:Organization
Organization Name:PERFORMANCE HEALTHCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELAINA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:540-526-7479
Mailing Address - Street 1:3603 BRAMBLETON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3600
Mailing Address - Country:US
Mailing Address - Phone:540-526-7479
Mailing Address - Fax:540-685-4415
Practice Address - Street 1:3603 BRAMBLETON AVE STE A
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3600
Practice Address - Country:US
Practice Address - Phone:540-526-7479
Practice Address - Fax:540-685-4415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty