PERFORMANCE HEALTH CARE LLC (NPI# 1518273911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518273911 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE HEALTH CARE LLC |
| Practice Address |
3641 Reavis Barracks Rd Saint Louis MO 63125-2438 |
| Practice Telephone | 6362199664 |
| Mailing Telephone | 6362199664 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |
| Authorized Official Name | MRS. MIRANDA LEIGH DAVIS (PROPRIETOR) |
| Authorized Official Telephone | 6362199664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
038011404 | MO | Chiropractic Providers |
| Street Address |
3641 REAVIS BARRACKS RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63125-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619267085 | Miranda Leigh Davis | Chiropractor | 3641 Reavis Barracks Rd, Saint Louis, MO 63125-2438 | 2011-04-19 |
| 1194033084 | Clinton J Daniels | Chiropractor | 3641 Reavis Barracks Rd, Saint Louis, MO 63125-2438 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| 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 |
|---|---|---|---|---|
| 1669770251 | Cindy Almon | Chiropractor | 9058 Watson Rd Ste C, Saint Louis, MO 63126-2242 | 2011-03-04 |
| 1720114424 | Ralph Michael Filson | Chiropractor | 10510 Old Olive Street Rd, Saint Louis, MO 63141-5926 | 2007-02-26 |
| 1134213044 | John Edward Kiernan Jr. | Chiropractor | 2401 S 11th St, Saint Louis, MO 63104-4305 | 2006-10-03 |
| 1619077740 | William Douglas Russell | Chiropractor | 2820 Missouri Ave, Saint Louis, MO 63118-1641 | 2006-09-25 |
| 1689641235 | Loretta A Hough | Chiropractor | 7415 S Lindbergh Blvd, Saint Louis, MO 63125-4837 | 2006-03-02 |
| 1790128007 | Kiernan Chiropractic, Inc. | Chiropractor | 2401 S 11th St, Saint Louis, MO 63104-4345 | 2013-04-17 |
| 1427392356 | Spine and Joint Care of Fenton, LLC | Chiropractor | 8005 Mackenzie Rd, Saint Louis, MO 63123-3518 | 2012-11-15 |
| 1548421282 | Chiropractic Centre-olive/270,llc | Chiropractor | 11935 Olive Blvd, Saint Louis, MO 63141-6729 | 2008-06-24 |
| 1548484819 | Feet for Life Centers Inc PC | Chiropractor | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2007-04-11 |
| 1144333634 | Rhonda Lynn Jones | Chiropractor | 11935 Olive Blvd, Saint Louis, MO 63141-6729 | 2006-08-17 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63125 |
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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.