NPIMap

Organization Active NPI

Peak Performance Orthopedic & Sports Physical Therapy, P.C.

  • Physical Therapist
  • Warsaw, IN
National Provider Identifier
1205900313
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
225100000X Issued in IN
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
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Sean Thomas WhiteNPI 1083722268
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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 132
Fort Wayne, IN 46804

5750 Coventry Ln
Ste B
Fort Wayne, IN 46804
Phone (260) 969-0396

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, and the practitioner matching its NPPES authorized official.

View all 13

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": [],
    "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.

Verify at the official NPI Registry.