Organization Active NPI

Peak Athletix LLC

  • Podiatrist
  • Orange City, FL
National Provider Identifier
1114479649
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3038 Issued in FL
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

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Dr. Jose Arnaldo Rivera, DPMNPI 1902864333
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.