PEAK PERFORMANCE CHIROPRACTIC LLC (NPI# 1104319482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104319482 |
| Entity Type | Organization |
| Organization Name | PEAK PERFORMANCE CHIROPRACTIC LLC |
| Practice Address |
62 Executive Plaza Ct Maryville IL 62062-5822 |
| Practice Telephone | 6186508062 |
| Mailing Telephone | 6186508062 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | DR. LINDSEY LANGENDORF (OWNER) |
| Authorized Official Telephone | 6186508062 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275681777 | Peak Performance Chiropractic LLC | Chiropractor | 275 Hill St Ste 101, Reno, NV 89501-1812 | 2007-01-08 |
| 1215275441 | Peak Performance Chiropractic LLC | Chiropractor | 815 Westfield Rd, Noblesville, IN 46062-8901 | 2013-01-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PEAK PERFORMANCE CHIROPRACTIC LLC | 319 Broadway, 1st Floor, Menands, New York 12204 |
| Indiana Business Entities | PEAK PERFORMANCE CHIROPRACTIC LLC | 10791 E State Road 47, Sheridan, IN 46069 |
| Street Address |
62 EXECUTIVE PLAZA CT |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| 1639405731 | Maryville Family Dental | Dentist | 2921 North Center Street, Suite 8-9, Maryville, IL 62062 | 2009-10-23 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649799966 | Carolyn Rose Filla | Chiropractor | 1780 W Lamar Alexander Pkwy, Maryville, TN 37801-3784 | 2017-09-19 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1457684219 | Bryan W Reid | Chiropractor | 2805 N Center St, Maryville, IL 62062-5622 | 2009-09-11 |
| 1154569150 | Catherine R Flynn | Chiropractor | 802 Mountain View Ave, Maryville, TN 37803-4822 | 2009-01-29 |
| 1659563542 | Walsh Chiropractic Ltd | Chiropractor | 2800 N Center, Maryville, IL 62062 | 2007-08-14 |
| 1053523811 | Steven R Watts | Chiropractor | 1011 W Broadway Ave, Maryville, TN 37801-4638 | 2007-05-04 |
| 1558586727 | Olav E. Lipiec | Chiropractor | 26044 Lakeview Dr, Maryville, MO 64468-7263 | 2007-04-14 |
| 1801931142 | Evan William Butcher | Chiropractor | 2724 E Broadway Ave, Maryville, TN 37804-2557 | 2007-02-21 |
| 1407991771 | Southern Illinois Chiropractic Center | Chiropractor | 2 Professional Park Drive, Suite B, Maryville, IL 62062-5746 | 2007-02-21 |
| 1801943113 | Bryan R Ardis | Chiropractor | 1103 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 | 2007-01-05 |
| Find all providers in MARYVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.