Organization
PERFORMANCE THERAPY AND FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BUSHEY PT (OWNER)
(315) 292-8604
Entity
Organization
Contact information
Practice address
30 CENTER ST, ST JOHNSVILLE, NY 13452-1127
(518) 568-0032
(518) 568-0035
Mailing address
140 ALYSSA CIR, UTICA, NY 13502-8203
(315) 292-8604
(518) 568-0035
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
05/08/2026
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