Organization Active NPI

Peak Endurance PT LLC

  • Physical Therapy Clinic/Center
  • Fort Atkinson, WI
National Provider Identifier
1003637505
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PEAK ENDURANCE PT LLC
Practice address
1815 Janesville Ave
Fort Atkinson, WI 53538-2712
Phone
(608) 218-4215
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Spencer Agnew, PTNPI 1427540863
Title
Owner
Phone
(920) 723-3251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1815 Janesville Ave
Fort Atkinson, WI 53538-2712

Mailing address

1205 Aztec CT
Fort Atkinson, WI 53538-3033

National Provider Directory

National Provider Directory

Locations

1815 Janesville Ave
Fort Atkinson, WI 53538
Phone (608) 218-4215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1003637505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 AZTEC CT",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 JANESVILLE AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382712",
            "telephone_number": "608-218-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK ENDURANCE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "AGNEW",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-723-3251",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.