Peak Performance Holistic Health Center LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

17291 Issued in OH

Legal business name

PEAK PERFORMANCE HOLISTIC HEALTH CENTER LLC

Practice address

105 N Main St
Bellefontaine, OH 43311-2020

Phone

(937) 407-6293

NPI assigned

Mar 29, 2017

Last updated

Mar 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Staci Powell

Title

Owner

Phone

(937) 407-6293

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Justin Randall Powell, LMT

  • Massage Therapist
  • Bellefontaine, OH
  • NPI 1912613183
  NPD (past)

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1437681467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112020",
            "telephone_number": "937-407-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112020",
            "telephone_number": "937-407-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE HOLISTIC HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-407-6293"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "17291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelia R Parsons, MSW, LSW
• Autumn Renae Patrizio
• Lyn Patusky, MSN, RN, FNP-C
• Amy Lynn Payne
• Jill Payne
• Cady Perry, DC
• Emily Lang Pool, LISW-S
• Brittanny Porter
• Allison Posekany, PHARMD, RPH
• Justin Randall Powell, LMT

• Massage Therapist in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.