Active NPI
Peak Endurance PT LLC
- Physical Therapy Clinic/Center
- Fort Atkinson, WI
National Provider Identifier
1003637505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Spencer Agnew, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Johnson Creek, WI
- NPI 1427540863
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.