PERFORMANCE PHYSICAL THERAPY AND SPORTS REHAB INC.
NPI 1215333554
Physical Therapist in Bangor, ME

Active since November 14, 2014
277 STATE ST, SUITE 1B, BANGOR, ME 04401(207) 356-9810 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Performance Physical Therapy And Sports Rehab Inc. NPPES

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

PERFORMANCE PHYSICAL THERAPY AND SPORTS REHAB INC. (NPI 1215333554) is a healthcare organization registered as a physical therapist in Bangor, Maine and active in the NPI registry since November 2014. The organization lists Bradley Lawrence Libby, Ceo/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1215333554
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePERFORMANCE PHYSICAL THERAPY AND SPORTS REHAB INC.
Location Address277 STATE ST, SUITE 1BBangor, ME 04401-5439
Mailing Address95 Sunset StripBrewer, ME 04412-1632
Organization SubpartNo
Authorized OfficialBradley Lawrence LibbyCeo/physical Therapist · (207) 356-9810
Enumeration DateNovember 14, 2014
✔ NPI 1215333554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in ME · PT4035
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
277 STATE ST, Bangor, ME 04401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 Rehab Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Performance Physical Therapy And Sports Rehab Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Physical Therapist in Private Practice
NPI 1003394099
277 STATE ST STE 1B
Bangor, ME 04401
(207) 922-4000
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1275148579
242 STATE ST
Bangor, ME 04401
(207) 922-4900
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1134943681
278A STATE ST
Brewer, ME 04412
(207) 922-4900
✔ Accepts Medicare1.1 mi
Physical Therapist in Private Practice
NPI 1386212918
277 STATE STREET
Brewer, ME 04412
(207) 922-4900
✔ Accepts Medicare1.4 mi
Physical Therapist in Private Practice
NPI 1013740315
33B PENN PLZ
Bangor, ME 04401
(207) 990-2050
✔ Accepts Medicare2.2 mi
Physical Therapist in Private Practice
NPI 1932533262
797 WILSON ST
Brewer, ME 04412
(207) 992-4042
✔ Accepts Medicare2.8 mi
Physical Therapist in Private Practice
NPI 1437826096
33 SEWALL ST
Portland, ME 04102
(207) 828-2100
✔ Accepts Medicare110 mi

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 Performance Physical Therapy And Sports Rehab Inc.'s NPI number?

The NPI number for Performance Physical Therapy And Sports Rehab Inc. is 1215333554. It was assigned to this organization in the NPPES registry on November 14, 2014.

Where is Performance Physical Therapy And Sports Rehab Inc. located?

Performance Physical Therapy And Sports Rehab Inc. is located at 277 State St Suite 1B, Bangor, ME 04401. The listed phone number is (207) 356-9810.

What is Performance Physical Therapy And Sports Rehab Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Performance Physical Therapy And Sports Rehab Inc. enrolled in Medicare?

Yes. Performance Physical Therapy And Sports Rehab Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Performance Physical Therapy And Sports Rehab Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Performance Physical Therapy And Sports Rehab Inc.. 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. Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Performance Physical Therapy And Sports Rehab Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Performance Physical Therapy And Sports Rehab Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Performance Physical Therapy And Sports Rehab Inc. was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.