Organization Active NPI

GRT Performance LLC

  • Health Service Clinic/Center
  • Toledo, OH
National Provider Identifier
1902790793
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
GRT PERFORMANCE LLC
Practice address
6040 Teletowne Dr
Toledo, OH 43612-4603
Phone
(855) 200-2478
Fax
(734) 799-8022
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Lori Jacobs, APRNNPI 1154890085
Title
Medical Provider
Phone
(855) 200-2478

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

6040 Teletowne Dr
Toledo, OH 43612-4603

Mailing address

5646 Kylie CT
Sylvania, OH 43560-9910
Phone (419) 466-0001

National Provider Directory

National Provider Directory

Locations

6040 Teletowne Dr
Toledo, OH 43612
Phone (855) 200-2478

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1902790793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 KYLIE CT",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609910",
            "telephone_number": "419-466-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 TELETOWNE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436124603",
            "telephone_number": "855-200-2478",
            "fax_number": "734-799-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRT PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "855-200-2478",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.