Provider Demographics
NPI:1740859271
Name:PERFORMANCEABOVE LLC
Entity type:Organization
Organization Name:PERFORMANCEABOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HETAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHAREKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-716-8750
Mailing Address - Street 1:585 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-5061
Mailing Address - Country:US
Mailing Address - Phone:423-276-1077
Mailing Address - Fax:
Practice Address - Street 1:116 PENDLETON ST SW STE B
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-2441
Practice Address - Country:US
Practice Address - Phone:803-716-8750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-19
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty