Provider Demographics
NPI:1386420123
Name:PIN SEEKER PERFORMANCE, LLC
Entity type:Organization
Organization Name:PIN SEEKER PERFORMANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:JENSEN
Authorized Official - Last Name:RYLTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:336-354-5887
Mailing Address - Street 1:2184 GASTON STREET
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-4451
Mailing Address - Country:US
Mailing Address - Phone:336-354-5887
Mailing Address - Fax:
Practice Address - Street 1:2184 GASTON STREET
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4451
Practice Address - Country:US
Practice Address - Phone:336-697-6363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty