Healthcare Provider Details

I. General information

NPI: 1194633446
Provider Name (Legal Business Name): PERFORMANCE MODALITIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N 16TH AVE STE 107
YAKIMA WA
98902-1300
US

IV. Provider business mailing address

8300 CYPRESS CREEK PKWY STE 225
HOUSTON TX
77070-5493
US

V. Phone/Fax

Practice location:
  • Phone: 866-687-4463
  • Fax:
Mailing address:
  • Phone: 346-781-8283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: HOLLY CHARETTE
Title or Position: VP OF COMPLIANCE
Credential:
Phone: 346-781-8283