Race Day Education Performance LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

RACE DAY EDUCATION PERFORMANCE LLC

Practice address

12411 Lakeview Dr
Loves Park, IL 61111-8969

Phone

(815) 985-8891

NPI assigned

Jun 20, 2023

Organization subpart

No

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

Authorized official

Name

Jonathan Gallas, PTNPI 1396770079

Title

Doctor of Physical Therapy

Phone

(815) 985-8891

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jonathan E Gallas

  • Physical Therapist
  • Rockford, IL
  • NPI 1396770079
  NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1730864380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 LAKEVIEW DR",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611118969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 LAKEVIEW DR",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611118969",
            "telephone_number": "815-985-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACE DAY EDUCATION PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-18",
        "status": "A",
        "authorized_official_last_name": "GALLAS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "815-985-8891",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebeca Frances Pritchard, MSN, APRN, FNP-BC
• Professional Medical Staffing Corp.
• Progressive Chiropractic Wellness & Rehab Centre, P.C.
• Vincent J. Quinlan, M.D.
• Meagan Elizabeth Quinn, MS, LAT, ATC
• Justin Todd Ramza, MD
• Chetan Parkash Rao, MD
• Hasan Rashid, M.D.
• Aisha Rasul
• Sahana Ravindran, DO

• Orthopedic Physical Therapist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.