Organization Active NPI

Peak Physical Therapy P.C.

  • Physical Therapist
  • Monrovia, CA
National Provider Identifier
1427469733
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 37734 Issued in CA
Legal business name
PEAK PHYSICAL THERAPY P.C.
Practice address
113 E Olive Ave
Monrovia, CA 91016-3407
Phone
(760) 449-8787
Fax
(626) 226-5875
NPI assigned
May 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Jennifer Bollinger, PTNPI 1245521822
Title
Physical Therapist
Phone
(714) 580-4484

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT 37734 CA Primary

Addresses

Primary practice location

113 E Olive Ave
Monrovia, CA 91016-3407

Mailing address

113 E Olive Ave
Monrovia, CA 91016-3407
Phone (760) 449-8787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141008001381 CA Part B Supplier - Clinic/Group Practice 1557581808 Receives reassigned benefits from 1 practitioner
Practice locations: Monrovia, CA

National Provider Directory

National Provider Directory

Locations

113 E Olive Ave
Monrovia, CA 91016
Phone (626) 531-0787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1427469733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E OLIVE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163407",
            "telephone_number": "760-449-8787",
            "fax_number": "626-226-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E OLIVE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163407",
            "telephone_number": "760-449-8787",
            "fax_number": "626-226-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "BOLLINGER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "714-580-4484",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 37734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.

Verify at the official NPI Registry.