Peak Performance Physical Therapy, PLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305001612 Issued in VA

Legal business name

PEAK PERFORMANCE PHYSICAL THERAPY, PLC

Practice address

11301 Sunset Hills Rd
Suite A3
Reston, VA 20190-5226

Phone

(703) 473-1515

Fax

(703) 473-8333

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Joanne C. Burton, PT

Title

Co-Manager

Phone

(703) 473-1515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1073760708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 SUNSET HILLS RD",
            "address_2": "SUITE A3",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905226",
            "telephone_number": "703-473-1515",
            "fax_number": "703-473-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 SUNSET HILLS RD",
            "address_2": "SUITE A3",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905226",
            "telephone_number": "703-473-1515",
            "fax_number": "703-473-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "703-473-1515",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305001612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Cairo Patrick
• Gabrielle Parisi Patterson, MS, RD, LDN
• Wanda M Patterson, M.D.
• Victory Paul-Ikhana
• Alex P. Pavidapha, M.D
• Jeffrey Peckins, DPT
• Pediatric Physicians of Reston, PC (Reston Town Center Pediatrics)
• Pediatrix Medical Group of the Mid-Atlantic PC
• Pediatrix Medical Group of the Mid-Atlantic PC
• Pediatrix Medical Group PC

• Physical Therapist in Reston, VA
• Providers in Reston, 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 25, 2008; 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.