Performance Spine and Sport Holdings LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PERFORMANCE SPINE AND SPORT HOLDINGS LLC

Practice address

1871 S Randall Rd Ste E
Geneva, IL 60134-4434

Phone

(630) 208-7810

NPI assigned

Nov 9, 2020

Last updated

Nov 11, 2020By 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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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
  Medicare reassignment NPD Authorized official
• Lorina Mahoney

  • Massage Therapist
  • Geneva, IL
  • NPI 1699162370
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1780286476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 S RANDALL RD STE E",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344434",
            "telephone_number": "630-208-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 S RANDALL RD STE E",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344434",
            "telephone_number": "630-208-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPINE AND SPORT HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Pedersen, LAC
• Maureen Penn
• Bambi S Penney, PT
• Kevin Michael Pennington, ATC
• Performance Spine & Sport LLC
• Joseph M Persak, M.D.
• Jennifer Lynn Peterson, APRN
• Jasper A Petrucci, M.D.
• Timothy S Petsche, M.D.
• Mark J Pettinger, RPH

• 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 Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.