Precision Performance and Sports Medicine

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRECISION PERFORMANCE AND SPORTS MEDICINE

Practice address

1 S Northwest Hwy
Park Ridge, IL 60068-4240

Phone

(312) 620-0902

NPI assigned

Apr 29, 2019

Organization subpart

Yes

Parent organization

PRECISION FITNESS TRAINING, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christine Davis, PT, DPTNPI 1851800783

Title

President/Owner/Physical Therapist

Phone

(312) 620-0902

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

Precision Performance and Sports Medicine

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Davis, DPT

  • Physical Therapist
  • Park Ridge, IL
  • NPI 1851800783
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1528622263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 N MANGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345217",
            "telephone_number": "312-576-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684240",
            "telephone_number": "312-620-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PERFORMANCE AND SPORTS MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISION FITNESS TRAINING, INC.",
        "enumeration_date": "2019-04-29",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "312-620-0902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@precisionperformancesporetsmedicine.com",
            "affiliation": "N",
            "endpointDescription": "Email (HIPPA Compliant)",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Document",
            "address_1": "1 S Northwest Hwy",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600684240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Doris Young Poynton, PT
• Nicholas Jacob Prabhakar, DO
• Luchinni Prabowo-Mandayo
• Nekaiya Jacobs Pratt, M.D.
• Preetha Ambika Prazad, M.D.
• Christine D Prekezes, MD
• Premier Rehab Services LLC
• Premier Wellcare, Inc.
• Premier Wellness Care Inc.
• Premiere Anesthesia Group LLC

• Physical Therapy Clinic/Center in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.