Organization Active NPI

Performance Education LLC

  • Health Service Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1750967097
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PERFORMANCE EDUCATION LLC
Practice address
14609 6 Mile Cypress Pkwy
Fort Myers, FL 33912-4465
Phone
(239) 202-2910
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Kirby RetzerNPI 1144815440
Title
Owner
Phone
(561) 699-2560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

14609 6 Mile Cypress Pkwy
Fort Myers, FL 33912-4465

Mailing address

9848 Colonial Walk S
Estero, FL 33928-6309
Phone (561) 699-2560

Other names 1

  • Performance Education LLC Other name

National Provider Directory

National Provider Directory

Locations

14609 6 Mile Cypress Pkwy
Fort Myers, FL 33912
Phone (239) 202-2910

Practitioners & affiliated clinicians

Practitioners 1

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": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1750967097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9848 COLONIAL WALK S",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286309",
            "telephone_number": "561-699-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14609 6 MILE CYPRESS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124465",
            "telephone_number": "239-202-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE EDUCATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "RETZER",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-699-2560"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Education LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.