1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Chiropractor
  6. NPI Profile

PERFORMANCE CHIROPRACTIC AND SPORTS REHAB, PLLC
NPI 1407115934
Chiropractor in San Antonio, TX

Active since May 03, 2012
6011 BROADWAY ST, 101, SAN ANTONIO, TX 78209(210) 771-2136(210) 247-9463 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Performance Chiropractic And Sports Rehab, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFORMANCE CHIROPRACTIC AND SPORTS REHAB, PLLC (NPI 1407115934) is a healthcare organization registered as a chiropractor in San Antonio, Texas and active in the NPI registry since May 2012. The organization lists Lauren Brooke Duarte, Doctor, as its authorized official.

NPPES Registry Identity

NPI1407115934
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVOLUTION WELLNESS
Location Address6011 BROADWAY ST, 101San Antonio, TX 78209-4554
Mailing Address6011 Broadway St, 101San Antonio, TX 78209-4554 · (210) 771-2136 · Fax (210) 247-9463
Phone(210) 771-2136
Fax(210) 247-9463
Organization SubpartNo
Authorized OfficialLauren Brooke DuarteDoctor · (210) 771-2136
Enumeration DateMay 3, 2012
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1407115934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
6011 BROADWAY ST, San Antonio, TX 78209
Open in Google Maps ↗

Other Names 1

Doing Business AsPerformance Chiropractic And Sports Rehab, Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN EDGERRON LMT
Massage Therapist
6011 BROADWAY ST
SAN ANTONIO, TX 78209
Bexar County (210) 879-8679
DR. JOE ANTHONY DUARTE D.C.
Chiropractor (Sports Physician)
6011 BROADWAY ST
SAN ANTONIO, TX 78209
Bexar County (210) 771-2136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revolution Wellness's NPI number?

The NPI number for Revolution Wellness is 1407115934. It was assigned to this organization in the NPPES registry on May 3, 2012. The provider is doing business as Performance Chiropractic And Sports Rehab, PLLC.

Where is Revolution Wellness located?

Revolution Wellness is located at 6011 Broadway St 101, San Antonio, TX 78209. The listed phone number is (210) 771-2136.

What is Revolution Wellness's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Revolution Wellness was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.