Organization Active NPI

Peak Kinetics Physical Therapy LLC

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1063383743
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK KINETICS PHYSICAL THERAPY LLC
Practice address
4953 Teverola Dr
Round Rock, TX 78665-3071
Phone
(954) 934-0765
NPI assigned
Sep 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Kayode David Ojetola, PT, DPTNPI 1831630623
Title
Clinic Manager
Phone
(954) 937-0765

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4953 Teverola Dr
Round Rock, TX 78665-3071

Mailing address

4953 Teverola Dr
Round Rock, TX 78665-3071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251012000124 TX Part B Supplier - Clinic/Group Practice 4284121591 Receives reassigned benefits from 1 practitioner
Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

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": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1063383743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 TEVEROLA DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 TEVEROLA DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653071",
            "telephone_number": "954-934-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK KINETICS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "OJETOLA",
        "authorized_official_first_name": "KAYODE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "954-937-0765",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.