Organization Active NPI

Peak Rehab

  • Physical Therapy Clinic/Center
  • White Pine, TN
National Provider Identifier
1154433456
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0000003965 Issued in TN
Legal business name
PEAK REHAB
Practice address
3108 Circle Dr
White Pine, TN 37890-3306
Phone
(865) 919-0029
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Robb Seahorn, PT CSCS
Title
President
Phone
(865) 919-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0000003965 TN Primary

Addresses

Primary practice location

3108 Circle Dr
White Pine, TN 37890-3306

Mailing address

PO Box 1167
White Pine, TN 37890-1167
Phone (865) 919-0029

National Provider Directory

National Provider Directory

Locations

3108 Circle Dr
White Pine, TN 37890
Phone (865) 674-7454

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1154433456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1167",
            "city": "WHITE PINE",
            "state": "TN",
            "postal_code": "378901167",
            "telephone_number": "865-919-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 CIRCLE DR",
            "city": "WHITE PINE",
            "state": "TN",
            "postal_code": "378903306",
            "telephone_number": "865-919-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "SEAHORN",
        "authorized_official_first_name": "ROBB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-919-0029",
        "authorized_official_credential": "PT CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "0000003965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Pine, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.