Victory Recovery & Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VICTORY RECOVERY & PERFORMANCE, LLC

Practice address

7700 Nisbet Rd
Haubstadt, IN 47639-9240

Phone

(812) 251-1114

NPI assigned

Jan 23, 2024

Last updated

Jan 23, 2024By 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. Dylan James Banks, PT, DPT, CSCSNPI 1790407930

Title

Owner/Physical Therapist

Phone

(812) 251-1114

Specialties & licenses 1

Addresses

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.

• Dylan James Banks, PT, DPT, CSCS

  • Physical Therapist
  • Evansville, IN
  • NPI 1790407930
  NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1831950179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 SAINT JOE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 NISBET RD",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476399240",
            "telephone_number": "812-251-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY RECOVERY & PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "812-251-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Steckler, DDS
• TCS Inc (Haubstadt Pharmacy)
• Erin Terwiske, DDS
• Transitional Services Sub, LLC
• Transitional Services, Inc
• Rhonda R Wilzbacher, N.P.

• Physical Therapy Clinic/Center in Haubstadt, IN
• Providers in Haubstadt, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.