Provider Demographics
NPI:1295327898
Name:PERFORMANCE ABILITY, LLC
Entity type:Organization
Organization Name:PERFORMANCE ABILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:MILTON
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:IV
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:910-322-2094
Mailing Address - Street 1:60 TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1724
Mailing Address - Country:US
Mailing Address - Phone:910-322-2094
Mailing Address - Fax:
Practice Address - Street 1:60 TAFT AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1724
Practice Address - Country:US
Practice Address - Phone:910-322-2094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy