MEDICARE: SEVEN PERFORMANCE 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	261QP2000X	Physical Therapy Clinic/Center	PT 003214	WV

General Provider Information

NPI Number	:	1558772376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVEN PERFORMANCE LLC

Provider Business Mailing Address
First Line	:	900 INDUSTRIAL PARK RD
Second Line	:
City	:	ELKINS
State	:	WV
Zip	:	26241-3560
Country	:	US
Telephone Number	:	304-621-7747
Fax Number	:	304-637-4588

Provider Business Practice Location Address
First Line	:	900 INDUSTRIAL PARK RD
Second Line	:
City	:	ELKINS
State	:	WV
Zip	:	26241-3560
Country	:	US
Telephone Number	:	304-473-0531
Fax Number	:

Authorized Official
Title or Position	:	DPT/MEMBER
Name	:	MR. KYLE JAMES WEST
Credential	:	DPT
Telephone Number	:	304-621-7747

Provider Enumeration Date	:	05/14/2014
Last Update Date	:	04/20/2026

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Directions to “SEVEN PERFORMANCE LLC ” Practice Location

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