Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Performance Physical Therapy, LLC

Organization Physical Therapist · NPI 1700835808

Performance Physical Therapy, LLC is a Physical Therapist in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5100 S Clyde Morris Blvd Ste 200
Port Orange, FL 32127-8976
Phone: (386) 304-8112
Fax: (386) 304-8014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT22239 (FL)

Record details

NPI number1700835808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vicki Valentine — Vice President Of Business Affairs · (219) 922-9508
NPI enumeratedMay 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing address9711 Valparaiso Dr, Suite 2, Munster, IN 46321-2866

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