MEDICARE: PERFORMANCE REHAB STRATEGIES PRS PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1043155633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFORMANCE REHAB STRATEGIES PRS PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	701 E COUNTY LINE RD STE 305
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-1072
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 E COUNTY LINE RD STE 305
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-1072
Country	:	US
Telephone Number	:	317-412-6059
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZACHARY CRAM
Credential	:	DPT
Telephone Number	:	317-412-6059

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/23/2026

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