Active NPI
Peak Athletix LLC
- Podiatrist
- Orange City, FL
National Provider Identifier
1114479649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3038
- Legal business name
- PEAK ATHLETIX LLC
- Practice address
- 955 Town Center Dr Ste 200
Orange City, FL 32763 - Phone
- (386) 218-4016
- Fax
- (386) 218-4107
- NPI assigned
- Nov 1, 2016
- 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
- Dr. Jose Arnaldo Rivera, DPM
- Title
- Medical Director
- Phone
- (954) 243-1272
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO3038 | FL | Primary |
Addresses
Primary practice location
955 Town Center Dr Ste 200
Orange City, FL 32763
Mailing address
PO Box 403051
Miami Beach, FL 33140-1051
Phone (954) 450-0099
Other practice location 1
17751 SW 2nd St
Pembroke Pines, FL 33029-3924
Phone (954) 450-0099
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine Podiatrist
- Orange City, FL
- NPI 1902864333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528329600000",
"number": "1114479649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 403051",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331401051",
"telephone_number": "954-450-0099",
"fax_number": "954-447-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 TOWN CENTER DR STE 200",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "32763",
"telephone_number": "386-218-4016",
"fax_number": "386-218-4107"
}
],
"practiceLocations": [
{
"address_1": "17751 SW 2nd St",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330293924",
"country_code": "US",
"telephone_number": "954-450-0099",
"fax_number": "954-447-9499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEAK ATHLETIX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-01",
"last_updated": "2018-06-07",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "ARNALDO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "954-243-1272",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.