PERFORMANCE CHIROPRACTIC AND SPORTS REHAB
NPI 1710239264
Clinic/Center in Olney, IL

Active since October 09, 2012
104 N GRANT ST, OLNEY, IL 62450(618) 395-7246(618) 395-7249 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Performance Chiropractic And Sports Rehab NPPES

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

PERFORMANCE CHIROPRACTIC AND SPORTS REHAB (NPI 1710239264) is a healthcare organization registered as a clinic/center in Olney, Illinois and active in the NPI registry since October 2012. The organization lists Derek Alan Leist, President, as its authorized official.

NPPES Registry Identity

NPI1710239264
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLEIST, LTD.
Location Address104 N GRANT STOlney, IL 62450-2612
Mailing Address104 N Grant StOlney, IL 62450-2612 · (618) 395-7246 · Fax (618) 395-7249
Fax(618) 395-7249
Organization SubpartNo
Authorized OfficialDerek Alan LeistPresident · (314) 954-1885
Enumeration DateOctober 9, 2012
NPI 1710239264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in IL · IL038012269
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).
104 N GRANT ST, Olney, IL 62450

Other Names 1

Doing Business AsPerformance Chiropractic And Sports Rehab

Other Providers at the Same Location NPPES

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

Family Medicine
104 N GRANT ST
OLNEY, IL 62450

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 Leist, Ltd.'s NPI number?

The NPI number for Leist, Ltd. is 1710239264. It was assigned to this organization in the NPPES registry on October 9, 2012. The provider is doing business as Performance Chiropractic And Sports Rehab.

Where is Leist, Ltd. located?

Leist, Ltd. is located at 104 N Grant St, Olney, IL 62450. The listed phone number is (618) 395-7246.

What is Leist, Ltd.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Leist, Ltd. was last updated on October 9, 2012. 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.