=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285578922
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOX PERFORMANCE AND REHABILITATION, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/15/2026
-----------------------------------------------------
Last Update Date | 04/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15315 NW US HIGHWAY 441 STE 2-B
-----------------------------------------------------
City | ALACHUA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32615-8684
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-682-9851
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15315 NW US HIGHWAY 441 STE 2-B
-----------------------------------------------------
City | ALACHUA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32615-8684
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-682-9851
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. CRAIG AMIDON FOX
-----------------------------------------------------
Credential | PT, DPT
-----------------------------------------------------
Telephone | 352-682-9851
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------