Peak Rehabcare, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PEAK REHABCARE, LLC

Practice address

101 N 7TH St # 16
Mayfield, KY 42066-1801

Phone

(270) 247-6668

NPI assigned

Aug 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter N Kiongo, MHS, MBA, OTR

Title

President

Phone

(270) 727-1023

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1003007865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 7TH ST # 16",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661801",
            "telephone_number": "270-247-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 7TH ST # 16",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661801",
            "telephone_number": "270-247-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK REHABCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "KIONGO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-727-1023",
        "authorized_official_credential": "MHS, MBA, OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS PROGRAM",
            "identifier": "1718",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Daniel Overby, D.M.D.
• Lacie Marie Parham, APRN
• Richard Lee Parker, D.C.
• Rebecca Patterson
• Teena Patty, CRNA
• Zenith Perpignani, NP
• Lora Phillips
• Dennis James Pierceall, PTA
• Pinelake Physician Practice LLC
• Pinelake Physician Practice LLC

• Occupational Therapist in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.