Individual provider Active NPI

Eric J Palenik, PT, DPT

  • Physical Therapist
  • Sequim, WA
National Provider Identifier
1326310707
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009187 Issued in WA
Practice address
800 N 5TH Ave
Suite 102
Sequim, WA 98382-3045
Phone
(360) 582-2601
Fax
(360) 582-2602
NPI assigned
Feb 1, 2012
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00009187 WA Primary

Addresses

Primary practice location

800 N 5TH Ave
Suite 102
Sequim, WA 98382-3045

Mailing address

202 Bon Jon View Way
Sequim, WA 98382-8093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120514000232 WA Practitioner - Physical Therapist in Private Practice 1052574910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Performance Therapy LLCGroup PAC ID 6709050693, 5 clinicians

Practice addresses (Care Compare)

519 Eureka Way
Suite 2
Sequim, WA 98382-5086
Phone (360) 683-8331

Merit-based Incentive Payment System (MIPS)

Final score
99.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
99.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Therapy LLC CurrentSince Sep 1, 2015 Accepting new patients
Harold G Everett, M.D, PLLC PastSince Sep 1, 2015 Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients

Locations

519 Eureka Way
Ste 2
Sequim, WA 98382
Phone (360) 683-8331

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1326310707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BON JON VIEW WAY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983828093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N 5TH AVE",
            "address_2": "SUITE 102",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823045",
            "telephone_number": "360-582-2601",
            "fax_number": "360-582-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALENIK",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.