MEDICARE: PERFORMANCE HEALTH CHIROPRACTICE OF ROCHESTER, P.C.

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1508720160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFORMANCE HEALTH CHIROPRACTICE OF ROCHESTER, P.C.

Provider Business Mailing Address
First Line	:	85 CLEARWATER CIR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14612-3090
Country	:	US
Telephone Number	:	585-683-0685
Fax Number	:

Provider Business Practice Location Address
First Line	:	2316 LYELL AVE STE 2
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14606-5746
Country	:	US
Telephone Number	:	585-429-5100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEX MICHAEL ECKERT
Credential	:	DC
Telephone Number	:	585-683-0685

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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