PERFORMEX PHYSICAL THERAPY AND SPORTS REHABILITATION
NPI 1083280564
Clinic/Center - Multi-Specialty in Fair Lawn, NJ

Active since June 03, 2021
12-28 RIVER RD, FAIR LAWN, NJ 07410(201) 951-4331 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2021, Jul 19, 2021, Jun 3, 2021 (3 updates tracked since 2021).

About Performex Physical Therapy And Sports Rehabilitation NPPES

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

PERFORMEX PHYSICAL THERAPY AND SPORTS REHABILITATION (NPI 1083280564) is a healthcare organization registered as a multi-specialty in Fair Lawn, New Jersey and active in the NPI registry since June 2021. The organization lists Wesley Arcentales, Physical Therapist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1083280564
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePERFORMEX PHYSICAL THERAPY AND SPORTS REHABILITATION
Location Address12-28 RIVER RDFair Lawn, NJ 07410-1489
Mailing Address12-28 River RdFair Lawn, NJ 07410-1489 · (201) 951-4331
Organization SubpartNo
Authorized OfficialWesley ArcentalesPhysical Therapist/ Owner · (201) 277-1107
Enumeration DateJune 3, 2021
Last NPPES UpdateAugust 6, 20213 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1083280564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedOccupational TherapistTaxonomy 225X00000X
12-28 RIVER RD, Fair Lawn, NJ 07410

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Performex Physical Therapy And Sports Rehabilitation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1275847485
12-28 RIVER RD
Fair Lawn, NJ 07410
(201) 951-4331
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Performex Physical Therapy And Sports Rehabilitation's NPI number?

The NPI number for Performex Physical Therapy And Sports Rehabilitation is 1083280564. It was assigned to this organization in the NPPES registry on June 3, 2021.

Where is Performex Physical Therapy And Sports Rehabilitation located?

Performex Physical Therapy And Sports Rehabilitation is located at 12-28 River Rd, Fair Lawn, NJ 07410. The listed phone number is (201) 951-4331.

What is Performex Physical Therapy And Sports Rehabilitation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Performex Physical Therapy And Sports Rehabilitation enrolled in Medicare?

Yes. Performex Physical Therapy And Sports Rehabilitation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Performex Physical Therapy And Sports Rehabilitation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Performex Physical Therapy And Sports Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Performex Physical Therapy And Sports Rehabilitation was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.