COMPLETE SPINE AND PERFORMANCE LLC
NPI 1417732009
Clinic/Center in Collinsville, IL

Active since August 30, 2023
521 BELT LINE RD, COLLINSVILLE, IL 62234(618) 855-9130(618) 855-9111 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Complete Spine And Performance Llc NPPES

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

COMPLETE SPINE AND PERFORMANCE LLC (NPI 1417732009) is a healthcare organization registered as a clinic/center in Collinsville, Illinois and active in the NPI registry since August 2023. The organization lists Blake Reed, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1417732009
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOMPLETE SPINE AND PERFORMANCE LLC
Location Address521 BELT LINE RDCollinsville, IL 62234-4411
Mailing Address240 Sandridge DrCollinsville, IL 62234-3792 · (618) 977-7317
Fax(618) 855-9111
Organization SubpartNo
Authorized OfficialBlake ReedOwner/chiropractor · (618) 855-9130
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1417732009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
521 BELT LINE RD, Collinsville, IL 62234

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Complete Spine And Performance Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Complete Spine And Performance LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1770156937
2013 JOHNSON RD STE D
Granite City, IL 62040
(618) 931-2050
7.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Complete Spine And Performance LLC's NPI number?

The NPI number for Complete Spine And Performance LLC is 1417732009. It was assigned to this organization in the NPPES registry on August 30, 2023.

Where is Complete Spine And Performance LLC located?

Complete Spine And Performance LLC is located at 521 Belt Line Rd, Collinsville, IL 62234. The listed phone number is (618) 855-9130.

What is Complete Spine And Performance LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Complete Spine And Performance LLC enrolled in Medicare?

Yes. Complete Spine And Performance LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Complete Spine And Performance LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Complete Spine And Performance LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Complete Spine And Performance LLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.