NPIMap

Organization Active NPI

Peak Performance Physical Therapy, PLC

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1134428642
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PERFORMANCE PHYSICAL THERAPY, PLC
Practice address
7402 Westshire Dr Ste 105
Lansing, MI 48917
Phone
(517) 853-6800
Fax
(517) 853-6801
NPI assigned
Mar 23, 2011
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Jill MarlanNPI 1346287869
Title
Owner
Phone
(517) 281-8586

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

7402 Westshire Dr Ste 105
Lansing, MI 48917

Mailing address

7402 Westshire Dr Ste 105
Lansing, MI 48917-8687
Phone (517) 853-6800

Other practice location 1

13105 Schavey Rd Ste 5
DeWitt, MI 48820-9014
Phone (517) 853-6800

Other practice location 2

2301 W Grand River Ave
Okemos, MI 48864-1648
Phone (517) 853-6800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110624000600 MI Part B Supplier - Clinic/Group Practice 2769660521 Receives reassigned benefits from 42 practitioners
Practice locations: Grand Rapids, MI; Okemos, MI; Mason, MI; Lansing, MI; Dewitt, MI

National Provider Directory

National Provider Directory

Locations

4911 W St Joe Hwy
Lansing, MI 48917
Phone (517) 321-1848

7402 Westshire Dr
Ste 105
Lansing, MI 48917
Phone (517) 927-8718

132 S Cedar St
Ste 500
Mason, MI 48854

2301 W Grand River Ave
Okemos, MI 48864
Phone 5178536800 ext. 2

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1134428642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 WESTSHIRE DR STE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178687",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 WESTSHIRE DR STE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13105 Schavey Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "DeWitt",
            "state": "MI",
            "postal_code": "488209014",
            "country_code": "US",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 W Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488641648",
            "country_code": "US",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "MARLAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-281-8586"
    },
    "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 Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.