Active NPI
Peak Performance Physical Therapy & Sports Rehab, LLC
- Physical Therapist
- Sulphur, LA
National Provider Identifier
1316701626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS REHAB, LLC
- Practice address
- 3813 Maplewood Dr
Sulphur, LA 70663-6349 - Phone
- (337) 540-4910
- NPI assigned
- Feb 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin Michael Guilbeaux, DPT
- Title
- Physical Therapist/Co-Owner
- Phone
- (337) 540-4910
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3813 Maplewood Dr
Sulphur, LA 70663-6349
Mailing address
117 Cassy Dr
Sulphur, LA 70663-6555
Phone (337) 540-4910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3813 Maplewood Dr
Sulphur, LA 70663
Phone (337) 476-5003
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Sulphur, LA
- NPI 1932403771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710979200000",
"number": "1316701626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 CASSY DR",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706636555",
"telephone_number": "337-540-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3813 MAPLEWOOD DR",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706636349",
"telephone_number": "337-540-4910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-07",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A",
"authorized_official_last_name": "GUILBEAUX",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/CO-OWNER",
"authorized_official_telephone_number": "337-540-4910",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.