Performance Spine & Sport LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011649 Issued in IL

Legal business name

PERFORMANCE SPINE & SPORT LLC

Practice address

1772 S Randall Rd
Suite 130
Geneva, IL 60134-4605

Phone

(630) 208-7810

Fax

(630) 208-7807

NPI assigned

Apr 13, 2010

Last updated

Oct 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan B Rinn, DCNPI 1821260894

Title

Owner

Phone

(630) 208-7810

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Benjamin Rinn, D.C.

  • Chiropractor
  • Geneva, IL
  • NPI 1821260894
  Authorized official Same address or phone

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1770809964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 S RANDALL RD",
            "address_2": "SUITE 130",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344605",
            "telephone_number": "630-208-7810",
            "fax_number": "630-208-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 S RANDALL RD",
            "address_2": "SUITE 130",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344605",
            "telephone_number": "630-208-7810",
            "fax_number": "630-208-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPINE & SPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "RINN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-208-7810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clariza Pech, RBT
• James A Pedersen, LAC
• Maureen Penn
• Bambi S Penney, PT
• Kevin Michael Pennington, ATC
• Performance Spine and Sport Holdings LLC
• Joseph M Persak, M.D.
• Jennifer Lynn Peterson, APRN
• Jasper A Petrucci, M.D.
• Timothy S Petsche, M.D.

• Chiropractor in Geneva, IL
• Providers in Geneva, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.