# PERFORMANCE PHYSICAL THERAPY OF WESTPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PERFORMANCE HEALTH CARE MANAGEMENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972809036
- **Legal business name:** PERFORMANCE HEALTH CARE MANAGEMENT
- **Authorized official:** MR. TODD WILKOWSKI (OWNER)
- **Authorized official phone:** (203) 422-0679

## Contact information

- **Practice address:** 333 POST RD W, WESTPORT, CT 06880-4701
- **Practice address phone:** (203) 422-0679
- **Practice address fax:** (203) 422-0931
- **Mailing address:** 9 W BROAD ST STE 100, STAMFORD, CT 06902-3764
- **Mailing address phone:** (203) 557-9165
- **Mailing address fax:** (203) 625-8290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 06/13/2024