Organization Active NPI

Peak Performance Care Physical Therapy Inc

  • Physical Therapist
  • Sonora, CA
National Provider Identifier
1417413923
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1740420058MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.