MEDICARE: JOINT PERFORMANCE 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	225100000X	Physical Therapist	1955	AZ

General Provider Information

NPI Number	:	1679693543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOINT PERFORMANCE INC

Provider Business Mailing Address
First Line	:	3602 E GREENWAY RD STE 106
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4648
Country	:	US
Telephone Number	:	602-682-6445
Fax Number	:	602-682-6449

Provider Business Practice Location Address
First Line	:	3602 E GREENWAY RD STE 106
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4648
Country	:	US
Telephone Number	:	602-682-6445
Fax Number	:	602-682-6449

Authorized Official
Title or Position	:	OWNER
Name	:	JAY BLOOMFIELD
Credential	:	PT
Telephone Number	:	480-650-4649

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	08/22/2020

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Directions to “JOINT PERFORMANCE INC ” Practice Location

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