Summit Therapeutic Concepts of Ennis LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUMMIT THERAPEUTIC CONCEPTS OF ENNIS LLC

Doing business as

Peak Physical Therapy & Sports Medicine Center of Ennis

Practice address

2200 Physicians Boulevard
Ste D
Ennis, TX 75119

Phone

(214) 369-8555

Fax

(214) 369-2683

NPI assigned

Dec 10, 2008

Organization subpart

No

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

Authorized official

Name

Steven A Cole, MSPTNPI 1538236930

Title

Owner

Phone

(972) 509-5070

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Peak Physical Therapy & Sports Medicine Center of Ennis Doing business as

Practitioners 2

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.

• Steven Andrew Cole, PT

  • Physical Therapist
  • Hallettsville, TX
  • NPI 1538236930
  NPD (past) Authorized official
• Evette Marie Ramirez, DPT

  • Physical Therapist
  • Ennis, TX
  • NPI 1154566040
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1306081070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674154",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674154",
            "telephone_number": "214-369-8555",
            "fax_number": "214-369-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHYSICIANS BOULEVARD",
            "address_2": "STE D",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "75119",
            "telephone_number": "214-369-8555",
            "fax_number": "214-369-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT THERAPEUTIC CONCEPTS OF ENNIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-509-5070",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0033SE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Physical Therapy & Sports Medicine Center of Ennis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen C. Durbin, DDS, PC
• Claudia Lee Stephens, LCSW; PSC;
• Paige Erin Stipe, PTA
• John M Sullivan, MD
• Margaret Mary Sullivan, MD
• Synapse Pain Management, PLLC
• Michael Teague
• Amber Lashun Tennison
• Texas Em 1 Medical Services PA
• Texas Professional Anesthesia Associates PLLC

• Physical Therapist in Ennis, TX
• Providers in Ennis, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.