Organization
PERFORMANCE REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LEROY SHINE JR. PT (PRESIDENT)
(504) 525-2225
Entity
Organization
Contact information
Practice address
301 W AIRLINE HWY, SUITE 104, LA PLACE, LA 70068-3823
(985) 653-9242
(985) 653-9324
Mailing address
PO BOX 309, LA PLACE, LA 70069-0309
(504) 525-2225
(504) 525-2259
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
LA
2251E1200X
Ergonomics Physical Therapist
—
LA
2251G0304X
Geriatric Physical Therapist
—
LA
2251X0800X
Orthopedic Physical Therapist
Primary
—
LA
Other
Enumeration date
04/11/2006
Last updated
09/11/2025
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