PERFORMANCE CHIROPRACTIC (NPI# 1366699407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366699407 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE CHIROPRACTIC |
| Practice Address |
708 S Rogers Rd Ste A Olathe KS 66062-1739 |
| Practice Telephone | 9137825000 |
| Practice Fax Number | 9137825005 |
| Mailing Telephone | 9137825000 |
| Mailing Fax Number | 9137825005 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | DR. BRETT MARTIN DWORKIS (CLINIC DIRECTOR) |
| Authorized Official Telephone | 9137825000 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
01-04631 | KS | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255500930 | Performance Chiropractic | Chiropractor | 13830 58th St N Ste 411, Clearwater, FL 33760-3720 | 2008-02-26 |
| 1033327077 | Performance Chiropractic | Chiropractor | 1903 Savannah Hwy # A, Charleston, SC 29407-6250 | 2007-05-21 |
| 1366727000 | Performance Chiropractic | Chiropractor | 1527 10th St, Marysville, WA 98270-4629 | 2011-10-13 |
| 1396903795 | Performance Chiropractic | Chiropractor | 131 Pearl St, Essex Junction, VT 05452-3626 | 2008-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Performance Chiropractic | 3560 Evergreen Pkwy, Suite 101, Evergreen, CO 80439 |
| Colorado Business Entities | Performance Chiropractic Clinic Inc. | 15859 E Jamison Dr. Apt 19110, Apt. 19110, Englewood, CO 80112 |
| New York State Corporations | PERFORMANCE CHIROPRACTIC, P.C. | 2052 Richmond Road, Staten Island, New York 10306 |
| Street Address |
708 S ROGERS RD STE A |
| City | OLATHE |
| State | KS |
| Zip Code | 66062-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457992448 | Tyler James Panko | Chiropractor | 7829 E Rockhill St Ste 303, Wichita, KS 67206-3914 | 2019-10-01 |
| 1023673068 | Jack Edward Gallagher | Chiropractor | 13400 Briar Dr Ste B, Leawood, KS 66209-3433 | 2019-05-06 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| 1023421179 | Bradley William Carolan | Chiropractor | 9809 W 110th Street, Bld. 36, Overland Park, KS 66210-1401 | 2014-06-06 |
| 1982014205 | Wilson Chiropractic and Wellness | Chiropractor | 1632 N Porter Ave, Wichita, KS 67203-2921 | 2014-05-08 |
| 1760811822 | Bluechip Spine & Sports Specialists, LLC | Chiropractor | 8336 E 21st St N, Suite #300, Wichita, KS 67206-2948 | 2013-11-08 |
| 1669729737 | Dynamic Athletics Health & Performance Institute LLC | Chiropractor | 9111 Flint St, Overland Park, KS 66214-1737 | 2012-08-08 |
| 1962739888 | Joseph Charles Kingry-staton | Chiropractor | 2111 E Crawford St, Salina, KS 67401-1326 | 2009-11-13 |
| 1578719340 | Jesse D Walden | Chiropractor | 11652 W. 75 St., Shawnee, KS 66214 | 2008-08-13 |
| 1033303136 | Casey T Hummel | Chiropractor | 550 North Andover Road, Andover, KS 67002 | 2007-08-31 |
| Find all providers with the same taxonomy | ||||
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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.