NPIMap

Organization Active NPI

Peak Performance Care Physical Therapy

  • Physical Therapy Clinic/Center
  • Sonora, CA
National Provider Identifier
1275838476
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
35312 Issued in CA
Legal business name
PEAK PERFORMANCE CARE PHYSICAL THERAPY
Practice address
19 Bradford St
Sonora, CA 95370-4701
Phone
(209) 532-1288
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Ellora Weston, DPT
Title
Owner, Physical Therapist
Phone
(209) 532-1288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 35312 CA Primary

Addresses

Primary practice location

19 Bradford St
Sonora, CA 95370-4701

Mailing address

PO Box 4143
Sonora, CA 95370-4143

National Provider Directory

National Provider Directory

Locations

19 Bradford St
Sonora, CA 95370
Phone (209) 532-1288

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1275838476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4143",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADFORD ST",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704701",
            "telephone_number": "209-532-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE CARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "ELLORA",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "209-532-1288",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "35312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.