Peak Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PEAK PHYSICAL THERAPY, LLC

Practice address

204 Medical Drive
Ste 160
Sherman, TX 75092

Phone

(903) 892-4800

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Kevin Johanneson

Title

VP Revenue Cycle

Phone

(423) 238-8923

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Peak Physical Therapy, LLC

  • Physical Therapist
  • Forney, TX
  • NPI 1033504295

  O20150724010198

  Same enrollment
• Peak Physical Therapy, LLC

  • Physical Therapist
  • Van Alstyne, TX
  • NPI 1104211317

  O20150724010198

  Same enrollment
• Peak Physical Therapy, LLC

  • Physical Therapist
  • Prosper, TX
  • NPI 1700271913

  O20150724010198

  Same enrollment
• Peak Physical Therapy, LLC

  • Physical Therapist
  • Wylie, TX
  • NPI 1861887069

  O20150724010198

  Same enrollment
• Peak Physical Therapy, LLC

  • Physical Therapist
  • McKinney, TX
  • NPI 1942696281

  O20150724010198

  Same enrollment
• Peak Physical Therapy, LLC

  • Physical Therapist
  • Frisco, TX
  • NPI 1992191498

  O20150724010198

  Same enrollment

Locations

Practitioners 3

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

• Christopher David Adams, P.T., M.P.T.

  • Physical Therapist
  • Forney, TX
  • NPI 1821196049
  NPD
• Jill Marie Eshelman, PT

  • Physical Therapist
  • McKinney, TX
  • NPI 1578958609
  NPD
• Sean Lambert, MSPT

  • Physical Therapist
  • Frisco, TX
  • NPI 1902848146
  NPD

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1194112128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL DRIVE",
            "address_2": "STE 160",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "75092",
            "telephone_number": "903-892-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 N Highway 1417",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750923106",
            "country_code": "US",
            "telephone_number": "903-892-4800",
            "fax_number": "903-892-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "JOHANNESON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "423-238-8923"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sirisha Pavuluri
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• Darci Shae Peach
• Steven Peacock, D.O.
• Peak Physical Therapy & Sports Medicine Center of Sherman
• Pecan Grove Dental
• Pecan Grove Surgery Center, LLC
• Eliza Peckenpaugh
• Pediatric Dental Specialists, PA
• Pediatric Dentistry of Sherman, PA

• Physical Therapist in Sherman, TX
• Providers in Sherman, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.