PERFORMANCEPRO SPORTS MEDICINE AND REHABILITATION
NPI 1063663227
Durable Medical Equipment & Medical Supplies in Tyler, TX

Active since October 07, 2008
4135 S BROADWAY AVE, TYLER, TX 75701(903) 581-8662(903) 581-7808 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Performancepro Sports Medicine And Rehabilitation NPPES

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

PERFORMANCEPRO SPORTS MEDICINE AND REHABILITATION (NPI 1063663227) is a healthcare organization registered as a durable medical equipment & medical supplies in Tyler, Texas and active in the NPI registry since October 2008. The organization lists Janna King, Vp, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1063663227
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePERFORMANCEPRO SPORTS MEDICINE AND REHABILITATION
Location Address4135 S BROADWAY AVETyler, TX 75701-8720
Mailing Address4135 S Broadway AveTyler, TX 75701-8720 · (903) 581-8662 · Fax (903) 581-7808
Fax(903) 581-7808
Organization SubpartNo
Authorized OfficialJanna KingVp, Authorized Official · (713) 297-7000
Enumeration DateOctober 7, 2008
Last NPPES UpdateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
NPI 1063663227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

4135 S BROADWAY AVE, Tyler, TX 75701

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4135 S BROADWAY AVE
TYLER, TX 75701
Physical Therapist
4135 S BROADWAY AVE
TYLER, TX 75701
Physical Therapist
4135 S BROADWAY AVE
TYLER, TX 75701
Physical Therapist
4135 S BROADWAY AVE
TYLER, TX 75701
Physical Therapist
4135 S BROADWAY AVE
TYLER, TX 75701
Physical Therapist
4135 S BROADWAY AVE
TYLER, TX 75701
Physical Therapist
4135 S BROADWAY AVE
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Performancepro Sports Medicine And Rehabilitation's NPI number?

The NPI number for Performancepro Sports Medicine And Rehabilitation is 1063663227. It was assigned to this organization in the NPPES registry on October 7, 2008.

Where is Performancepro Sports Medicine And Rehabilitation located?

Performancepro Sports Medicine And Rehabilitation is located at 4135 S Broadway Ave, Tyler, TX 75701. The listed phone number is (903) 581-8662.

What is Performancepro Sports Medicine And Rehabilitation's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Performancepro Sports Medicine And Rehabilitation was last updated on March 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.