OrganizationActive
Rebuilt PT and Performance PLLC
NPI 1790473296 · Physical Therapy Clinic/Center · Villa Park, IL
Provider details
- NPI number
- 1790473296
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Gornick, Owner, Physical Therapist(630) 426-1474
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
822 S Summit Ave
Villa Park, IL 60181-3207
Phone: (630) 426-1474
Street-level locationGet directions
Mailing address
2501 Chatham Rd Ste N
Springfield, IL 62704-4188
Registry dates
- Enumerated
- 2023-04-24
- Last updated
- 2023-04-24
- Certified
- 2023-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.