OrganizationActive
Performance Rehab
NPI 1043436561 · Massage Therapist · Hollywood, FL
Provider details
- NPI number
- 1043436561
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Brian Mevorah, Ceo(954) 765-3200
- License
- MM18935 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2303 Hollywood Blvd
Hollywood, FL 33020-6711
Phone: (954) 765-3200
Street-level locationGet directions
Mailing address
721 Se 17th St
Ft Lauderdale, FL 33316-2983
Other names (DBA / former)
- Other name
- Performance Orthopedics East LLC
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.