Active NPI
Performance Education LLC
- Health Service Clinic/Center
- Fort Myers, FL
National Provider Identifier
1750967097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kirby Retzer
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Exercise Physiologist
- Fort Myers, FL
- NPI 1144815440
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.