Outperforming Physical Therapy & Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OUTPERFORMING PHYSICAL THERAPY & PERFORMANCE

Practice address

748 E Park Ave
Libertyville, IL 60048-2907

Phone

(815) 409-0623

NPI assigned

Jun 30, 2022

Last updated

Jun 30, 2022By 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

Taylor Reid, PT, DPTNPI 1992390074

Title

Owner

Phone

(815) 409-0623

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.

• Taylor Danielle Reid, PT

  • Sports Physical Therapist
  • Libertyville, IL
  • NPI 1992390074
  NPD Authorized official

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1922730662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19071 W LAKE VIEW AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600603518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 E PARK AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482907",
            "telephone_number": "815-409-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPERFORMING PHYSICAL THERAPY & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-409-0623",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Ortega, LCPC
• Carmen Ortiz-Acosta
• Jaime Osry-Delany
• Osteopathic Healing Arts, LLC
• Karen L. Otto, APRN
• Frances J Pacheco, PSY.D.
• Vincenzo Padovano, MD
• Cheryl A Pahl, APRN
• Angela C Pak Oh, O.D.
• Stacey Lyn Durnbaugh Palmer, MPT

• Physical Therapy Clinic/Center in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.