MEDICARE: ADVANCED PERFORMANCE THERAPY

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	:	1669043774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PERFORMANCE THERAPY

Provider Business Mailing Address
First Line	:	2051 BALDWIN RD STE 110
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4047
Country	:	US
Telephone Number	:	929-841-1998
Fax Number	:

Provider Business Practice Location Address
First Line	:	2051 BALDWIN RD STE 110
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4047
Country	:	US
Telephone Number	:	929-841-1998
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADRIAN FERREIRA
Credential	:	MPT
Telephone Number	:	929-841-1998

Provider Enumeration Date	:	07/09/2021
Last Update Date	:	07/09/2021

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Directions to “ADVANCED PERFORMANCE THERAPY ” Practice Location

Language	Start Address	Practice Location

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