NPIMap

Organization Active NPI

Peak Performance Sports and Physical Therapy, LLC

  • Physical Therapist
  • New Bern, NC
National Provider Identifier
1194714063
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PERFORMANCE SPORTS AND PHYSICAL THERAPY, LLC
Practice address
2009 Neuse Blvd
New Bern, NC 28560-3470
Phone
(252) 636-9800
NPI assigned
Oct 13, 2005
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Richard LeaverNPI 1801994355
Title
Ceo
Phone
(616) 356-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

2009 Neuse Blvd
New Bern, NC 28560-3470

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Other practice location 1

292 Commerce Ave
Southern Pines, NC 28387-7059
Phone (610) 757-0408

Other practice location 2

1989 W 15th St Ste 103
Washington, NC 27889-3574
Phone (252) 644-4002

Other practice location 3

1961 Nc Highway 172 Ste 105&106
Sneads Ferry, NC 28460-9195
Phone (910) 325-4141

Other practice location 4

4355 Nc Highway 211 Ste D
West End, NC 27376-8390
Phone (910) 310-4850

Other practice location 5

2509 Piney Green Rd Ste 1&2
Jacksonville, NC 28544-1366
Phone (910) 294-8610

Other practice location 6

8504 Darton Way Ste 105
Raleigh, NC 27616-9317
Phone (929) 207-1208

Other practice location 7

278 Highway 24
Ste G
Morehead City, NC 28557
Phone (252) 499-0828

Other practice location 8

901 US 70 Hwy W Ste 120
Garner, NC 27529-2664
Phone (910) 294-8612

Other practice location 9

200 Advance Ln Ste 4
Richlands, NC 28574-0106
Phone (910) 294-8602

Other practice location 10

4002 Executive Park Blvd Ste 800
Southport, NC 28461-9069
Phone (910) 477-6326

Other practice location 11

900 S Franklin St Ste 201
Wake Forest, NC 27587-2799
Phone (919) 556-1245

Other practice location 12

656 W Corbett Ave
Swansboro, NC 28584-8450
Phone (910) 550-2515

Other practice location 13

2756 Richlands Hwy
Jacksonville, NC 28540-3611
Phone (910) 378-0147

Other practice location 14

2457 Gum Branch Rd Ste 600
Jacksonville, NC 28540-4008
Phone (910) 938-7555

Other practice location 15

1202 E Main St
Havelock, NC 28532-2405
Phone (252) 447-4005

Other practice location 16

740 W Fire Tower Rd Ste 113
Winterville, NC 28590-8411
Phone (252) 329-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421000043 NC Part B Supplier - Clinic/Group Practice 0749276426 Receives reassigned benefits from 73 practitioners
Practice locations: Winterville, NC; West End, NC; Washington, NC; Wake Forest, NC; Swansboro, NC; Southport, NC; Southern Pines, NC; Sneads Ferry, NC…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

901 US 70 Hwy W
Garner, NC 27529

901 US 70 Hwy W
Ste 120
Garner, NC 27529
Phone (910) 294-8612

110 Branchwood Dr
Ste A
Jacksonville, NC 28546
Phone (910) 938-7555

2457 Gum Branch Rd
Ste 600
Jacksonville, NC 28540
Phone (910) 938-7555

2457 Gum Branch Rd
Ste 600700
Jacksonville, NC 28540
Phone (910) 938-7555

2509 Piney Green Rd
Ste 12
Jacksonville, NC 28544
Phone (910) 294-8610

2509 Piney Green Rd
Ste 1
Midway Park, NC 28544

278 NC Highway 24
Ste G
Morehead City, NC 28557
Phone (252) 499-0828

2009 Neuse Blvd
New Bern, NC 28560
Phone (252) 636-9800

8504 Darton Way
Ste 105
Raleigh, NC 27616
Phone (929) 207-1208

200 Advance Ln
Unit 4
Richlands, NC 28574
Phone (910) 294-8602

730 S Horner Blvd
Sanford, NC 27330
Phone (984) 270-7063

1961 NC Highway 172
Ste 105
Sneads Ferry, NC 28460

1961 NC Highway 172
Ste 105106
Sneads Ferry, NC 28460
Phone (910) 325-4141

1961 NC Highway 172
Ste AND106
Sneads Ferry, NC 28460
Phone (910) 325-4141

656 W Corbett Ave
Swansboro, NC 28584
Phone (910) 326-3050

1989 W 15th St
Ste 103
Washington, NC 27889
Phone (252) 644-4002

Practitioners & affiliated clinicians

Practitioners 151

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 151

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1194714063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603470",
            "telephone_number": "252-636-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Commerce Ave",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283877059",
            "country_code": "US",
            "telephone_number": "610-757-0408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1989 W 15th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NC",
            "postal_code": "278893574",
            "country_code": "US",
            "telephone_number": "252-644-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1961 Nc Highway 172 Ste 105&106",
            "address_purpose": "LOCATION",
            "city": "Sneads Ferry",
            "state": "NC",
            "postal_code": "284609195",
            "country_code": "US",
            "telephone_number": "910-325-4141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4355 Nc Highway 211 Ste D",
            "address_purpose": "LOCATION",
            "city": "West End",
            "state": "NC",
            "postal_code": "273768390",
            "country_code": "US",
            "telephone_number": "910-310-4850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2509 Piney Green Rd Ste 1&2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285441366",
            "country_code": "US",
            "telephone_number": "910-294-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8504 Darton Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276169317",
            "country_code": "US",
            "telephone_number": "929-207-1208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 Highway 24",
            "address_2": "Ste G",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "28557",
            "country_code": "US",
            "telephone_number": "252-499-0828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 US 70 Hwy W Ste 120",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275292664",
            "country_code": "US",
            "telephone_number": "910-294-8612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Advance Ln Ste 4",
            "address_purpose": "LOCATION",
            "city": "Richlands",
            "state": "NC",
            "postal_code": "285740106",
            "country_code": "US",
            "telephone_number": "910-294-8602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4002 Executive Park Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "NC",
            "postal_code": "284619069",
            "country_code": "US",
            "telephone_number": "910-477-6326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 S Franklin St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275872799",
            "country_code": "US",
            "telephone_number": "919-556-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "656 W Corbett Ave",
            "address_purpose": "LOCATION",
            "city": "Swansboro",
            "state": "NC",
            "postal_code": "285848450",
            "country_code": "US",
            "telephone_number": "910-550-2515",
            "fax_number": "910-325-0088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2756 Richlands Hwy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285403611",
            "country_code": "US",
            "telephone_number": "910-378-0147",
            "fax_number": "910-219-4119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2457 Gum Branch Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285404008",
            "country_code": "US",
            "telephone_number": "910-938-7555",
            "fax_number": "910-938-7544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 E Main St",
            "address_purpose": "LOCATION",
            "city": "Havelock",
            "state": "NC",
            "postal_code": "285322405",
            "country_code": "US",
            "telephone_number": "252-447-4005",
            "fax_number": "252-447-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 W Fire Tower Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Winterville",
            "state": "NC",
            "postal_code": "285908411",
            "country_code": "US",
            "telephone_number": "252-329-8800",
            "fax_number": "252-329-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK PERFORMANCE SPORTS AND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "LEAVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-356-5000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.