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Performance Rehab, Inc

Performance Rehab, Inc is a healthcare organization registered as Physical Therapy Clinic/Center in Ridgeland, MS, holding Type 2 (organization) NPI 1568455889 since 2005. The authorized official on file is Suzanne Walters, Ceo.

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NPI 1568455889
Entity type Organization (Type 2)
Legal business name Performance Rehab, Inc
Practice address 950 EAST COUNTYLINE ROAD, SUITE A, Ridgeland, MS, 39157
Phone 6013085117
Fax 6013085103
Enumeration date 2005-08-23
Last updated in NPPES 2017-11-16

Authorized official

Name Suzanne Walters
Title Ceo
Phone 6013085117

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QX0100X Occupational Medicine Clinic/Center Secondary 0524742 MS
261QP2000X Physical Therapy Clinic/Center Primary 0524742 MS

Other identifiers

Identifier Type State Issuer
09326565 Medicaid MS
0007769666 Other MS AETNA PIN #
Copy-ready billing details
Provider: Performance Rehab, Inc
NPI: 1568455889
Taxonomy: 261QP2000X (Physical Therapy Clinic/Center)
Address: 950 EAST COUNTYLINE ROAD, SUITE A, Ridgeland, MS, 39157

Verify this record

Cross-check NPI 1568455889 against the authoritative CMS record: view Performance Rehab, Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Performance Rehab, Inc?
Performance Rehab, Inc is registered in NPPES as a Physical Therapy Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-11-16.