Organization Active NPI

Peak Performance Chiropractic and Wellness, P.C.

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1346613155
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208412 Issued in VA
Legal business name
PEAK PERFORMANCE CHIROPRACTIC AND WELLNESS, P.C.
Practice address
3603 Brambleton Ave
Ste a
Roanoke, VA 24018-3600
Phone
(540) 526-7479
Fax
(540) 685-4415
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Dr. Joshua Rhodes, D.C.
Title
President
Phone
(540) 526-7479

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104557037 VA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2305208412 VA Primary

Addresses

Primary practice location

3603 Brambleton Ave
Ste a
Roanoke, VA 24018-3600

Mailing address

3603 Brambleton Ave
Ste a
Roanoke, VA 24018-3600
Phone (540) 526-7479

National Provider Directory

National Provider Directory

Locations

3603 Brambleton Ave
Ste A
Roanoke, VA 24018
Phone (540) 342-1007

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1346613155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 BRAMBLETON AVE",
            "address_2": "STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183600",
            "telephone_number": "540-526-7479",
            "fax_number": "540-685-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 BRAMBLETON AVE",
            "address_2": "STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183600",
            "telephone_number": "540-526-7479",
            "fax_number": "540-685-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE CHIROPRACTIC AND WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-526-7479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557037",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.