Healthcare Provider Details

I. General information

NPI: 1467868067
Provider Name (Legal Business Name): PERFORMANCE REHAB INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2014
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1646 WESTGATE CIR STE 106
BRENTWOOD TN
37027-8563
US

IV. Provider business mailing address

1646 WESTGATE CIR STE 106
BRENTWOOD TN
37027-8563
US

V. Phone/Fax

Practice location:
  • Phone: 615-465-6810
  • Fax: 615-465-6817
Mailing address:
  • Phone: 615-465-6810
  • Fax: 615-465-6817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number6507
License Number StateTN

VIII. Authorized Official

Name: DR. JOSHUA K. COLBERT
Title or Position: OWNER / PRESIDENT / PHYSICAL THERAP
Credential: DPT
Phone: 615-519-9934