Provider Demographics
NPI:1427718006
Name:INFINITY PERFORMANCE PT PLC
Entity type:Organization
Organization Name:INFINITY PERFORMANCE PT PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BANTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:703-967-8474
Mailing Address - Street 1:19775 BELMONT EXECUTIVE PLZ STE 125
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7606
Mailing Address - Country:US
Mailing Address - Phone:703-967-8474
Mailing Address - Fax:571-417-7948
Practice Address - Street 1:19775 BELMONT EXECUTIVE PLZ STE 125
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7606
Practice Address - Country:US
Practice Address - Phone:571-498-7752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-23
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty