OrganizationActive
Leist, Ltd.
NPI 1710239264 · Clinic/Center · Olney, IL
Provider details
- NPI number
- 1710239264
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Derek Leist, President(314) 954-1885
- License
- IL038012269 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs 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
104 N Grant St
Olney, IL 62450-2612
Phone: (618) 395-7246
Fax: (618) 395-7249
Street-level locationGet directions
Mailing address
104 N Grant St
Olney, IL 62450-2612
Other names (DBA / former)
- Doing business as
- Performance Chiropractic and Sports Rehab
Registry dates
- Enumerated
- 2012-10-09
- Last updated
- 2012-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.