Provider Demographics
NPI:1447941406
Name:PATH TO PERFORMANCE LLC
Entity type:Organization
Organization Name:PATH TO PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:ZALUSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:267-333-1728
Mailing Address - Street 1:1935 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-2653
Mailing Address - Country:US
Mailing Address - Phone:267-333-1728
Mailing Address - Fax:
Practice Address - Street 1:1935 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-2653
Practice Address - Country:US
Practice Address - Phone:267-333-1728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy