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General NPI Number Information
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NPI Number | 1467868067
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Entity Type | Organization
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Legal Business Name | PERFORMANCE REHAB INSTITUTE
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 1646 WESTGATE CIR STE 106
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City | BRENTWOOD
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State | TN
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Zip | 37027-8563
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Country | US
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Telephone | 615-465-6810
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Fax | 615-465-6817
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Provider Business Mailing Address
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Address Line | 1646 WESTGATE CIR STE 106
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City | BRENTWOOD
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State | TN
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Zip | 37027-8563
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Country | US
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Telephone | 615-465-6810
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Fax | 615-465-6817
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Authorized Official
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Title or Position | OWNER / PRESIDENT / PHYSICAL THERAP
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Name | DR. JOSHUA K. COLBERT
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Credential | DPT
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Telephone | 615-519-9934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 6507
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License Number State | TN
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