Shift Peak Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SHIFT PEAK PERFORMANCE LLC

Practice address

6911 Veterans Ave
Fort Smith, AR 72916

Phone

(618) 210-7933

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Reed Alexander Handlery, PTNPI 1568907954

Title

Physical Therapist

Phone

(618) 210-7933

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reed Handlery, PT

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1568907954
  Medicare reassignment Care Compare group NPD Authorized official
• Kaci Handlery, PT, DPT, EDD

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1447139928
  Medicare reassignment Care Compare group NPD
• Madisyn Lauren Melchor, PT

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1700732344
  Medicare reassignment Care Compare group NPD
• Wade Pennington, PT, DPT

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1053288258
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1114758158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 SHIRE VALLEY CT",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729165015",
            "telephone_number": "618-210-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 VETERANS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72916",
            "telephone_number": "618-210-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFT PEAK PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "HANDLERY",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "618-210-7933",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Shepherd, MHPP
• Sarah Danielle Shepherd
• Shaunda Sheppard, QBHP
• Caroline Sherman
• William M Sherrill, M.D.
• Shipley & Sills Family Practice, PLLC
• Caitlyn Marie Shipley, APRN
• Donna M Shipley, MD
• Lisa Ann Shipman
• Saloni Shirke, MD

• Physical Therapy Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Physical Therapy Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.