PERFORMANCE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC
NPI 1003313966
Physical Medicine & Rehabilitation - Sports Medicine in Columbia, MD

Q: What is Performance Physical Therapy And Sports Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Active since April 09, 2018

9194 RED BRANCH RD STE J, COLUMBIA, MD 21045(410) 997-2585(410) 997-2586 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2025, Oct 12, 2021, Sep 28, 2021 and 1 more (4 updates tracked since 2018).

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About Performance Physical Therapy And Sports Rehabilitation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFORMANCE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC (NPI 1003313966) is a healthcare organization registered as a sports medicine in Columbia, Maryland and active in the NPI registry since April 2018. The organization lists Kerry Hickerson Hite, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1003313966

Entity TypeOrganization

Primary Taxonomy2081S0010X

Legal Business NamePERFORMANCE PHYSICAL THERAPY AND SPORTS REHABILITATION LLC

Location Address9194 RED BRANCH RD STE JColumbia, MD 21045-2005

Mailing Address9194 Red Branch Rd Ste JColumbia, MD 21045-2005 · (410) 997-2585 · Fax (410) 997-2586

Phone(410) 997-2585

Fax(410) 997-2586

Organization SubpartNo

Authorized OfficialKerry Hickerson HiteOwner/physical Therapist · (410) 997-2585

Enumeration DateApril 9, 2018

Last NPPES UpdateMarch 18, 20254 updates tracked since enumeration

NPPES CertifiedMarch 18, 2025

✔ NPI 1003313966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

9194 RED BRANCH RD STE J, Columbia, MD 21045

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Performance Physical Therapy And Sports Rehabilitation Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Performance Physical Therapy And Sports Rehabilitation LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.