Organization Active NPI

Peak Physical Therapy

Doing business as Galena Sport Physical Therapy

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1275667768
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PHYSICAL THERAPY
Doing business as
Galena Sport Physical Therapy
Practice address
16560 Wedge Pkwy Ste 200a
Reno, NV 89511-3318
Phone
(775) 384-1400
Fax
(775) 384-1367
NPI assigned
Mar 15, 2007
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Dereck Shawn Barrett
Title
Ceo
Phone
(775) 384-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

16560 Wedge Pkwy Ste 200a
Reno, NV 89511-3318

Mailing address

16560 Wedge Pkwy Ste 200a
Reno, NV 89511-3318
Phone (775) 384-1400

Other names 1

  • Galena Sport Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000728 NV Part B Supplier - Clinic/Group Practice 3870562564 Receives reassigned benefits from 7 practitioners
Practice locations: Reno, NV; Sparks, NV

National Provider Directory

National Provider Directory

Locations

1274 E Plumb Ln
Ste C
Reno, NV 89502
Phone (775) 786-8711

1561 S Virginia St
Reno, NV 89502
Phone (775) 322-4555

16560 Wedge Pkwy
Ste 200A
Reno, NV 89511
Phone (775) 384-1400

1699 S Virginia St
Ste 101
Reno, NV 89502
Phone (775) 322-4555

35 Regency Way
Ste A
Reno, NV 89509
Phone (775) 322-4555

4773 Caughlin Pkwy
Ste 1
Reno, NV 89519
Phone (775) 432-2870

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1275667768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16560 WEDGE PKWY STE 200A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113318",
            "telephone_number": "775-384-1400",
            "fax_number": "775-384-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16560 WEDGE PKWY STE 200A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113318",
            "telephone_number": "775-384-1400",
            "fax_number": "775-384-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "DERECK",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-384-1400"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galena Sport Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Galena Sport Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.