Peak Performance Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305003508 Issued in VA

Legal business name

PEAK PERFORMANCE THERAPY LLC

Practice address

390 Virginia St
Urbanna, VA 23175

Phone

(804) 758-5588

Fax

(804) 758-5589

NPI assigned

Jun 15, 2007

Last updated

Aug 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol A Keenan, PT

Title

Owner

Phone

(804) 758-5588

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Elizabeth Durniak, P.T.

  • Physical Therapist
  • Hartfield, VA
  • NPI 1275721367
  NPD (past)
• Ann Frances Easton, P.T.

  • Physical Therapist
  • Hartfield, VA
  • NPI 1508060856
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1003011537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 VIRGINIA ST",
            "address_2": "B",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "23175",
            "telephone_number": "804-758-5588",
            "fax_number": "804-758-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 VIRGINIA ST",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "23175",
            "telephone_number": "804-758-5588",
            "fax_number": "804-758-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-758-5588",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003011537",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "364394",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Middle Peninsula-Northern Neck Mental Health and Mental Retardation (Rural Infant Services Program)
• Jean Smith Miller, RPT
• Terquoise Nelson
• Phyllis Denise Nickens
• Kendra Louise Parsons
• Katharine W Phillips, QMHP
• Tiffany Anne Pittman, B.S.
• Precise Telehealth Inc (Precise Telehealth of Virginia)
• Kallen Prior
• Kristine Quam

• Physical Therapist in Urbanna, VA
• Providers in Urbanna, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.