Active NPI
Peak Performance Care Physical Therapy Inc
- Physical Therapist
- Sonora, CA
National Provider Identifier
1417413923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PEAK PERFORMANCE CARE PHYSICAL THERAPY INC
- Practice address
- 13949 Mono Way
Sonora, CA 95370-2807 - Phone
- (209) 532-1288
- Fax
- (209) 230-9529
- NPI assigned
- Feb 20, 2019
- Last updated
- Feb 20, 2019
- 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
- Ellora Weston, DPT
- Title
- Owner
- Phone
- (209) 532-1288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
13949 Mono Way
Sonora, CA 95370-2807
Mailing address
PO Box 4143
Sonora, CA 95370-4143
Phone (209) 532-1288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740420058 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Physical Therapist
- Sonora, CA
- NPI 1548829195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550620800000",
"number": "1417413923",
"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",
"telephone_number": "209-532-1288",
"fax_number": "209-230-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13949 MONO WAY",
"city": "SONORA",
"state": "CA",
"postal_code": "953702807",
"telephone_number": "209-532-1288",
"fax_number": "209-230-9529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK PERFORMANCE CARE PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A",
"authorized_official_last_name": "WESTON",
"authorized_official_first_name": "ELLORA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-532-1288",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740420058",
"state": "CA"
}
],
"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 Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.