Organization Active NPI

Peak Physical Therapy and Sports Medicine Center PLLC

  • Physical Therapist
  • McKinney, TX
National Provider Identifier
1033206677
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTER PLLC
Practice address
6045 Alma Rd
Ste 320
McKinney, TX 75070-2188
Phone
(972) 569-9050
Fax
(972) 569-9076
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Jon Poe, P.T.NPI 1619990983
Title
Owner
Phone
(972) 569-9050

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X

Addresses

Primary practice location

6045 Alma Rd
Ste 320
McKinney, TX 75070-2188

Mailing address

PO Box 674134
Dallas, TX 75267-4134
Phone (214) 369-8555

Other identifiers 1

IdentifierTypeStateIssuer
0085EXOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

6045 Alma Rd
Ste 320
McKinney, TX 75070
Phone (214) 495-0763

Practitioners & affiliated clinicians

Practitioners 3

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1033206677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674134",
            "telephone_number": "214-369-8555",
            "fax_number": "214-369-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 ALMA RD",
            "address_2": "STE 320",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702188",
            "telephone_number": "972-569-9050",
            "fax_number": "972-569-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-569-9050",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0085EX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.