PRO PERFORMANCE PHYSICAL THERAPY AND WELLNESS, PLLC
NPI 1821262809
Physical Therapist - Orthopedic in Glen Cove, NY

Active since April 21, 2008
70 GLEN ST, SUITE 380, GLEN COVE, NY 11542(516) 277-1153(516) 277-1154 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pro Performance Physical Therapy And Wellness, Pllc NPPES

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

PRO PERFORMANCE PHYSICAL THERAPY AND WELLNESS, PLLC (NPI 1821262809) is a healthcare organization registered as an orthopedic in Glen Cove, New York and active in the NPI registry since April 2008. The organization lists Jonathan A Venegas, Member, as its authorized official.

NPPES Registry Identity

NPI1821262809
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NamePRO PERFORMANCE PHYSICAL THERAPY AND WELLNESS, PLLC
Location Address70 GLEN ST, SUITE 380Glen Cove, NY 11542-2855
Mailing Address70 Glen St, Suite 380Glen Cove, NY 11542-2855 · (516) 277-1153 · Fax (516) 277-1154
Fax(516) 277-1154
Organization SubpartNo
Authorized OfficialJonathan A VenegasMember · (516) 277-1153
Enumeration DateApril 21, 2008
Last NPPES UpdateOctober 1, 2008
✔ NPI 1821262809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in NY · 015585-1
Definition
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.
Also ListedPhysical Therapist · NeurologyTaxonomy 2251N0400X · License 015585-1 (NY)
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License 015585-1 (NY)
70 GLEN ST, Glen Cove, NY 11542

Other Identifiers 1

Medicare PINA100000028NY

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)

Pro Performance Physical Therapy And Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pro Performance Physical Therapy And Wellness, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1043963937
775 PARK AVE
Huntington, NY 11743
(631) 396-1595
12 mi
Physical Therapist in Private Practice
NPI 1962572552
1651 BELLMORE AVE
North Bellmore, NY 11710
(516) 781-1085
✔ Accepts Medicare13 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 Pro Performance Physical Therapy And Wellness, PLLC's NPI number?

The NPI number for Pro Performance Physical Therapy And Wellness, PLLC is 1821262809. It was assigned to this organization in the NPPES registry on April 21, 2008.

Where is Pro Performance Physical Therapy And Wellness, PLLC located?

Pro Performance Physical Therapy And Wellness, PLLC is located at 70 Glen St Suite 380, Glen Cove, NY 11542. The listed phone number is (516) 277-1153.

What is Pro Performance Physical Therapy And Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Pro Performance Physical Therapy And Wellness, PLLC enrolled in Medicare?

Yes. Pro Performance Physical Therapy And Wellness, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pro Performance Physical Therapy And Wellness, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Pro Performance Physical Therapy And Wellness, PLLC. 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 Pro Performance Physical Therapy And Wellness, PLLC was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.