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PEAK REHAB LLC NPI 1639949902


NPI Information

NPI: 1639949902
Provider Name: PEAK REHAB, LLC
Classification: Physical Therapist - 2251S0007X
Entity Type: Organization

Specialization: Sports

Address:
3400 WESTGATE DR STE B14C
DURHAM, NC
ZIP 27707
Phone: (984) 833-2535
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PEAK REHAB, LLC is a sports physical therapist in Durham, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. PEAK REHAB, LLC NPI is 1639949902. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 WESTGATE DR STE B14C
DURHAM, NC
ZIP 27707-696
Phone: (984) 833-2535
Fax: (919) 313-4363

The provider's authorized official is Mollie Elizabeth Pathman .
The authorized official title is Physical Therapist / Owner and has the following contact phone number (919) 943-9449.

The enumeration date for this NPI number is 1/8/2024 and was last updated on 1/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicNo
22251S0007XPhysical TherapistSportsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11912555384MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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