Performance Physical Therapy Prof
Performance Physical Therapy Prof is a healthcare organization registered as Physical Therapy Clinic/Center in Spearfish, SD, holding Type 2 (organization) NPI 1568509289 since 2007. The authorized official on file is Tammy Tjaden, Practice Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568509289 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Performance Physical Therapy Prof |
| Practice address | 215 E JACKSON BLVD, SUITE B, Spearfish, SD, 57783 |
| Phone | 6057226880 |
| Fax | 6057226889 |
| Enumeration date | 2007-01-31 |
| Last updated in NPPES | 2011-04-06 |
Authorized official
| Name | Tammy Tjaden |
|---|---|
| Title | Practice Manager |
| Phone | 6057226880 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2000X | Physical Therapy Clinic/Center | Primary | — | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041171 | Other | SD | BLUE CROSS BLUE SHIELD SD |
Copy-ready billing details
Provider: Performance Physical Therapy Prof NPI: 1568509289 Taxonomy: 261QP2000X (Physical Therapy Clinic/Center) Address: 215 E JACKSON BLVD, SUITE B, Spearfish, SD, 57783
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720125438 | Tim Kudlock | Individual | Physical Therapist | Spearfish, SD |
Verify this record
Cross-check NPI 1568509289 against the authoritative CMS record: view Performance Physical Therapy Prof on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Performance Physical Therapy Prof?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2011-04-06.