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Active NPI 1538276407 Organization (Entity Type 2)

Performax, Llc

Physical Therapist - Orthopedic • Bothell, WA

About Performax, Llc NPI 1538276407 Summary

Performax, Llc is a verified healthcare organization specializing in Physical Therapist - Orthopedic operating in Bothell, WA. Located at 22118 20TH AVE SE, SUITE 139, this facility provides patient care and medical services under National Provider Identifier (NPI) 1538276407.

Administrative operations and authorized compliance are overseen by Ramanathan Supramanian (Business Owner).

Facility Location & Contact Primary Location

Facility Address

22118 20th Ave Se
Suite 139

Bothell, WA 98021

Telephone 4254855444

Fax 4254855588

Authorized Official Information

Authorized Contact Name

Ramanathan Supramanian

Title / Role

Business Owner

Official Telephone

4254855444

Facility Classifications & Specialties

Physical Therapist - Orthopedic Primary Taxonomy

NUCC Taxonomy Code: 2251X0800X

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events

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Updated Practice Location February 23, 2024

Registered at 22118 20TH AVE SE, SUITE 139, BOTHELL, WA 98021 (Tel: 4254855444)

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Updated Business Mailing Address February 23, 2024

Registered at 22118 20TH AVE SE, SUITE 139, BOTHELL, WA 98021 (Tel: 4254855444)

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NPI Profile Active May 25, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 25, 2016

Registered at 22118 20TH AVE SE, STE 139, BOTHELL, WA 980214434 (Tel: 4254855444)

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Updated Business Mailing Address May 25, 2016

Registered at 22118 20TH AVE SE, STE 139, BOTHELL, WA 980214434 (Tel: 4254855444)

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Organization / Clinic Name Updated May 25, 2016

Operating as PERFORMAX, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2016

Physical Therapist

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Initial NPI Registration & Enumeration August 24, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1538276407

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: August 24, 2006

Last Update: February 23, 2024

Update or Correct Listing

Mailing Address

22118 20th Ave Se, Suite 139

Bothell, WA 98021

Phone: 4254855444

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.