Starkville Peak Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STARKVILLE PEAK PERFORMANCE LLC

Practice address

506 Academy Rd Ste 1
Starkville, MS 39759-4022

Phone

(251) 455-3685

NPI assigned

Aug 2, 2023

Last updated

Nov 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lindsey Landreneau Whatley, PTNPI 1144635772

Title

Owner/Clinician

Phone

(251) 455-3685

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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.

• Lindsey Landreneau Whatley, DPT

  • Physical Therapist
  • Starkville, MS
  • NPI 1144635772
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1235811837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S WEDGEWOOD RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 ACADEMY RD STE 1",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594022",
            "telephone_number": "251-455-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKVILLE PEAK PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "WHATLEY",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "LANDRENEAU",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "251-455-3685",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starkville Ms Operating LLC (Rolling Hills Developmental Center)
• Starkville Oktibbeha Consolidated School District
• Starkville Oktibbeha Consolidated School District
• Starkville Oktibbeha Consolidated School District (Starkville High School)
• Starkville Orthopedic Clinic, LLC
• Starkville Pediatric Clinic
• Starkville Pediatric Dentistry
• Starkville Pediatric Extended Care LLC
• Starkville Physical Therapy, Inc. (Starkville Physical Therapy)
• Starkville Public Schools

• Physical Therapy Clinic/Center in Starkville, MS
• Providers in Starkville, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.