Provider Demographics
NPI:1467868067
Name:PERFORMANCE REHAB INSTITUTE
Entity type:Organization
Organization Name:PERFORMANCE REHAB INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT / PHYSICAL THERAP
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:K
Authorized Official - Last Name:COLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:615-519-9934
Mailing Address - Street 1:1646 WESTGATE CIR STE 106
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8563
Mailing Address - Country:US
Mailing Address - Phone:615-465-6810
Mailing Address - Fax:615-465-6817
Practice Address - Street 1:1646 WESTGATE CIR STE 106
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8563
Practice Address - Country:US
Practice Address - Phone:615-465-6810
Practice Address - Fax:615-465-6817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-03
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6507261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy