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RACE DAY EDUCATION PERFORMANCE LLC NPI 1730864380


NPI Information

NPI: 1730864380
Provider Name: RACE DAY EDUCATION PERFORMANCE LLC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
12411 LAKEVIEW DR
LOVES PARK, IL
ZIP 61111
Phone: (815) 985-8891
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RACE DAY EDUCATION PERFORMANCE LLC is an orthopedic physical therapist in Loves Park, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. RACE DAY EDUCATION PERFORMANCE LLC NPI is 1730864380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12411 LAKEVIEW DR
LOVES PARK, IL
ZIP 61111-969
Phone: (815) 985-8891

The provider's authorized official is Jonathan Gallas .
The authorized official title is Doctor Of Physical Therapy and has the following contact phone number (815) 985-8891.

The enumeration date for this NPI number is 6/20/2023 and was last updated on 6/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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