Peak Physical Therapy Clinic LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PEAK PHYSICAL THERAPY CLINIC LLC

Practice address

455 E Grand River Ave
Suite 102
Brighton, MI 48116-1551

Phone

(810) 360-0806

Fax

(844) 809-2246

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Christine Igyarto

Title

Director of Revenue

Phone

(847) 393-4691

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Peak Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peak Physical Therapy Clinic LLC

  • Physical Therapist
  • Brighton, MI
  • NPI 1972963437
  NPD tax ID

Locations

Practitioners 1

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

• Amy Elizabeth Gallegos, DPT

  • Physical Therapist
  • Brighton, MI
  • NPI 1316186216
  Medicare reassignment

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1235598012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N PLAZA DR",
            "address_2": "SUITE 706",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601736021",
            "telephone_number": "847-393-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E GRAND RIVER AVE",
            "address_2": "SUITE 102",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161551",
            "telephone_number": "810-360-0806",
            "fax_number": "844-809-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "IGYARTO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "847-393-4691"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Centered Family Medicine & Omt
• David Parker Patterson, M.D.
• Michael Allen Paulson, D.O.
• Jadyn Michelle Pawlak
• Rebecca Pawlik, M.D.
• Peak Physical Therapy Clinic LLC
• Pearle Vision Inc
• Susan Pearon, LLMSW, CADC
• Kieron Tye B Pearson
• Jessica J Peatee, PH.D.

• Physical Therapist in Brighton, MI
• Providers in Brighton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.