Performance Rehab and Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4411-012 Issued in WI

Legal business name

PERFORMANCE REHAB AND CHIROPRACTIC, INC.

Practice address

1010 N Bird St
Sun Prairie, WI 53590-1174

Phone

(608) 825-8801

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William E. Vaughn, D.C.NPI 1154553865

Title

President

Phone

(608) 825-8801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William E. Vaughn, D.C.

  • Chiropractor
  • Madison, WI
  • NPI 1154553865
  Medicare reassignment NPD Authorized official
• Matthew J Knutson, P.T.

  • Physical Therapist
  • Sun Prairie, WI
  • NPI 1144855453
  NPD (past)
• Sarah R Voung, PT

  • Physical Therapist
  • Sauk City, WI
  • NPI 1942258710
  NPD (past)

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1992937619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BIRD ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901174",
            "telephone_number": "608-825-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BIRD ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901174",
            "telephone_number": "608-825-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHAB AND CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-825-8801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4411-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmi Patel, DMD
• Peak Performance Chiropractic and Rehab LLC
• Peak Proformance Chiropractic and Rehabilitation
• Jill Diane Pelton Streekstra, R.N.
• Benjamin Percy, DPT
• Christopher D Peters, MSW LCSW
• Kameron Peterson, PHARMD, BCACP
• Stephanie Mt Peterson, RN
• Tina D Peterson
• Laura B Pethan, APNP

• All providers in Sun Prairie, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.