NPIMap

Organization Active NPI

Functional Performance Chiropractic, LTD

  • Chiropractor
  • Grayslake, IL
National Provider Identifier
1790197044
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012615 Issued in IL
Legal business name
FUNCTIONAL PERFORMANCE CHIROPRACTIC, LTD
Practice address
1153 Hummingbird LN
Grayslake, IL 60030-3409
Phone
(513) 706-0145
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Bryan Thomas Robinett, D.C.
Title
Co-Owner
Phone
(513) 706-0145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012615 IL Primary

Addresses

Primary practice location

1153 Hummingbird LN
Grayslake, IL 60030-3409

Mailing address

1153 Hummingbird LN
Grayslake, IL 60030-3409
Phone (513) 706-0145

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1790197044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 HUMMINGBIRD LN",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303409",
            "telephone_number": "513-706-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 HUMMINGBIRD LN",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303409",
            "telephone_number": "513-706-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PERFORMANCE CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "ROBINETT",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "513-706-0145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.