Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longevity and Performance Clinic, PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1174442008

Longevity and Performance Clinic, PLLC is a Physical Medicine & Rehabilitation Physician in Winston Salem, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2475 Hillcrest Center Cir
Winston Salem, NC 27103-3048
Phone: (336) 754-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1174442008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Reiter — Owner · (336) 442-9005
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJune 25, 2026
Mailing address64 Abbottsford Dr, Pinehurst, NC 28374-9756

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