# PERFORMANCE REHABILITATION OF WESTERN NEW ENGLAND LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Performance Rehabilitation PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740345818
- **Authorized official:** WADE A MEYER (VP CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (630) 296-2222

## Contact information

- **Practice address:** 168 DENSLOW RD, EAST LONGMEADOW, MA 01028-3188
- **Practice address phone:** (413) 526-9969
- **Practice address fax:** (413) 526-9960
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440
- **Mailing address phone:** (630) 296-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251H1200X | Hand Physical Therapist | — | NULL | — |
| 2251H1200X | Hand Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | MA | — |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 10/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03527 | BMC ELM GROUP | MA |
| 01 | — | 043527 | CT CARE GROUP | MA |
| 01 | — | 103355100 | DOL GROUP | MA |
| 01 | — | 28117 | HNE GROUP | MA |
| 01 | — | 35264 | DENSLOW BMC GROUP | MA |
| 01 | — | 35265 | BIRNIE BMC GROUP | MA |
| 01 | — | 64-04290 | UNITED GROUP | MA |
| 01 | — | 690675 | TUFTS GROUP | MA |
| 01 | — | 9715568 | MASS HEALTH GROUP | MA |
| 05 | — | 9715568 | — | MA |
| 01 | — | 972730 | NETWORK HEALTH GROUP | MA |
| 01 | — | AA49027 | HARVARD PILGRIM | MA |
| 01 | — | OG0011 | BLUE CROSS | MA |
| 01 | — | PT0191 | MEDICARE | MA |
| 01 | — | Y61264 | BLUE CROSS PT | MA |