MEDICARE: PERFORMAX PHYSICAL THERAPY, INC.

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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1194766808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFORMAX PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	29100 GATEWAY BLVD.
Second Line	:	SUITE 400
City	:	FLAT ROCK
State	:	MI
Zip	:	48134
Country	:	US
Telephone Number	:	734-379-7900
Fax Number	:	734-379-9150

Provider Business Practice Location Address
First Line	:	29100 GATEWAY BLVD
Second Line	:	SUITE 400
City	:	FLAT ROCK
State	:	MI
Zip	:	48134-2764
Country	:	US
Telephone Number	:	734-379-7900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MONICA A MANNNINO
Credential	:
Telephone Number	:	734-379-7900

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	06/12/2013

Similar Medicare Providers

1194796037 — THOMAS A CLARK D.O.
Practice Location Address:

29100 GATEWAY BLVD , STE 100
FLAT ROCK, MI
48134-2764

Practice Phone: 734-379-9200
Practice Fax: 734-379-9229

1679509491 — MONICA ANN MANNINO PT
Practice Location Address:

29100 GATEWAY BLVD , SUITE 400
FLAT ROCK, MI
48134-2764

Practice Phone: 734-379-7900
Practice Fax:

1316009756 — PORTER & CLARK CHIROPRACTIC PLLC
Practice Location Address:

29100 GATEWAY BLVD , STE 100
FLAT ROCK, MI
48134-2764

Practice Phone: 734-379-9200
Practice Fax: 734-379-9229

1972707602 — MICHAEL A. KALATA D.O.
Practice Location Address:

29100 GATEWAY BLVD , SUITE 300
FLAT ROCK, MI
48134-2764

Practice Phone: 734-379-0781
Practice Fax:

1902052574 — MRS. BRENDA ANNE ROSS MPT
Practice Location Address:

29100 GATEWAY BLVD , SUITE 400
FLAT ROCK, MI
48134-2764

Practice Phone: 734-379-7900
Practice Fax:

1992232433 — ROBIN MARIE COOLSAET PT, DPT
Practice Location Address:

29100 GATEWAY BLVD STE 400
FLAT ROCK, MI
48134-2764

Practice Phone: 734-379-7900
Practice Fax:

Directions to “PERFORMAX PHYSICAL THERAPY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.