Healthcare Provider Details

I. General information

NPI: 1689502163
Provider Name (Legal Business Name): EMPOWER PERFORMANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1962 OHIO ST
LISLE IL
60532-2145
US

IV. Provider business mailing address

24W615 SPRINGDALE DR
NAPERVILLE IL
60540-3745
US

V. Phone/Fax

Practice location:
  • Phone: 630-347-0853
  • Fax:
Mailing address:
  • Phone: 630-347-0853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARRAH LUDWIG
Title or Position: DOCTOR OF PHYSICAL THERAPY
Credential: PT, DPT
Phone: 630-347-0853