NPIMap

Organization Active NPI

Personal Performance Training & Rehabiliation, Inc.

  • Physical Therapy Clinic/Center
  • Urbana, IL
National Provider Identifier
1720103872
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PERSONAL PERFORMANCE TRAINING & REHABILIATION, INC.
Practice address
1804 N Lincoln Ave
Urbana, IL 61801-1023
Phone
(217) 337-4313
Fax
(217) 337-1914
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Susan Margaret Kleber, BS
Title
Owner
Phone
(217) 337-4313

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X 096.001528 IL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 227.001883 IL
KinesiotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 226300000X 1290 IL
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1804 N Lincoln Ave
Urbana, IL 61801-1023

Mailing address

1804 N Lincoln Ave
Urbana, IL 61801-1023
Phone (217) 337-4313

National Provider Directory

National Provider Directory

Locations

1804 N Lincoln Ave
Urbana, IL 61801
Phone (217) 281-3551

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1720103872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 N LINCOLN AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618011023",
            "telephone_number": "217-337-4313",
            "fax_number": "217-337-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 N LINCOLN AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618011023",
            "telephone_number": "217-337-4313",
            "fax_number": "217-337-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL PERFORMANCE TRAINING & REHABILIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "KLEBER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-337-4313",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.001528",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.001883",
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Kinesiotherapist",
            "state": "IL",
            "license": "1290",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.