Active NPI
Peak Performance Orthopedic & Sports Physical Therapy, P.C.
- Physical Therapist
- Warsaw, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 225100000X
- Legal business name
- PEAK PERFORMANCE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, P.C.
- Practice address
- 2240 N Pointe Dr
Warsaw, IN 46582-9042 - Phone
- (574) 267-3500
- Fax
- (574) 267-3518
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Thomas White
- Title
- President
- Phone
- (260) 244-5133
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 225100000X | IN | Primary |
Addresses
Primary practice location
2240 N Pointe Dr
Warsaw, IN 46582-9042
Mailing address
169 N 200 E
Columbia City, IN 46725-8895
Phone (260) 244-5133
Other practice location 1
169 N 200 E
Columbia City, IN 46725-8895
Phone (260) 244-5133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200832220A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051110000155 | IN | Part B Supplier - Clinic/Group Practice | 6204854086 |
Receives reassigned benefits from 4 practitioners Practice locations: Columbia City, IN; Warsaw, IN |
National Provider Directory
National Provider DirectoryLocations
169 N 200 E
Columbia City, IN 46725
Phone (260) 244-5133
662 Country Side Dr
Ste 105
Columbia City, IN 46725
Phone (260) 244-5133
5750 Coventry Ln
Ste B
Fort Wayne, IN 46804
Phone (260) 969-0396
5750 Coventry Ln
Ste 132
Fort Wayne, IN 46804
2240 N Pointe Dr
Warsaw, IN 46582
Phone (574) 267-3500
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Columbia City, IN
- NPI 1083722268
IN, Physical Therapist
-
- Physical Therapist
- Columbia City, IN
- NPI 1790003382
IN, Physical Therapist
-
- Physical Therapy Assistant
- Columbia City, IN
- NPI 1952736787
-
- Physical Therapist
- Columbia City, IN
- NPI 1255449450
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1669671889
-
- Physical Therapy Assistant
- Columbia City, IN
- NPI 1184082331
-
- Occupational Therapist
- Warsaw, IN
- NPI 1598901944
-
- Physical Therapy Assistant
- Warsaw, IN
- NPI 1154844942
-
- Physical Therapist
- Warsaw, IN
- NPI 1679853352
-
- Physical Therapist
- Pensacola, FL
- NPI 1275598336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762905600000",
"number": "1205900313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 N 200 E",
"city": "COLUMBIA CITY",
"state": "IN",
"postal_code": "467258895",
"telephone_number": "260-244-5133",
"fax_number": "260-244-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 N POINTE DR",
"city": "WARSAW",
"state": "IN",
"postal_code": "465829042",
"telephone_number": "574-267-3500",
"fax_number": "574-267-3518"
}
],
"practiceLocations": [
{
"address_1": "169 N 200 E",
"address_purpose": "LOCATION",
"city": "Columbia City",
"state": "IN",
"postal_code": "467258895",
"country_code": "US",
"telephone_number": "260-244-5133",
"fax_number": "260-244-5134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEAK PERFORMANCE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "260-244-5133"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IN",
"license": "225100000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200832220A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.