OrganizationActive
Performance Enhancement Professionals LLC
NPI 1417361197 · Sports Physical Therapist · Dover, DE
Provider details
- NPI number
- 1417361197
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Glenn Brown, President(302) 423-0236
- License
- J1-0000429 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1255 S State St
Suite 7
Dover, DE 19901-6932
Phone: (302) 423-0236
Street-level locationGet directions
Mailing address
71 Mcbry Dr
Dover, DE 19901-4407
Registry dates
- Enumerated
- 2014-06-20
- Last updated
- 2014-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.