OrganizationActive
Prism Physical Therapy & Performance Training PLLC
NPI 1639914476 · Physical Therapy Clinic/Center · Manhattan, IL
Provider details
- NPI number
- 1639914476
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Margaret Leise, Ceo(630) 730-7003
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24520 S US Route 52
Manhattan, IL 60442
Phone: (630) 730-7003
Approximate (ZIP-level) locationGet directions
Mailing address
24520 S US Highway 52 Unit 2
Manhattan, IL 60442-7784
Registry dates
- Enumerated
- 2024-06-25
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.