OrganizationActive
Pro Perform Spinal Health & Rehab LLC
NPI 1912458621 · Preferred Provider Organization · Oxon Hill, MD
Provider details
- NPI number
- 1912458621
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Simone Simmons, Office Manager(301) 705-7800
- License
- S03581 (MD)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
6710 Oxon Hill Rd
Suite 400
Oxon Hill, MD 20745-1117
Phone: (301) 705-7800
Fax: (301) 705-7888
Street-level locationGet directions
Mailing address
12070 Old Line Ctr
Waldorf, MD 20602-2513
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2017-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.