# G5 PERFORMANCE PHYSIO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** G5 Performance Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821720863
- **Authorized official:** MR. JAMES LEE PT. SMS (PRINCIPLE)
- **Authorized official phone:** (646) 694-9222

## Contact information

- **Practice address:** 274 MADISON AVE RM 1604, NEW YORK, NY 10016-0706
- **Practice address phone:** (646) 694-9222
- **Mailing address:** 133 E 58TH ST, 902, NEW YORK, NY 10022-1285
- **Mailing address phone:** (646) 694-9222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2022
- **Last updated:** 08/12/2024