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

Organization Physical Therapist · NPI 1083259139

Vivid Performance Physical Therapy is a Physical Therapist in Northlake, Texas. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1517 15th St
Northlake, TX 76226
Phone: (269) 377-5117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Sports Physical Therapist Taxonomy 2251S0007X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1083259139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Spencer Cole — Owner · (269) 377-5117
NPI enumeratedNovember 13, 2019
Last updated in NPPESNovember 13, 2019
Mailing address1517 15th Street, Northlake, TX 76226

Other providers in Northlake