NPIMap

Organization Active NPI

Peak Performance Physical Therapy

  • Physical Therapist
  • Cortland, OH
National Provider Identifier
1447630348
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011591 Issued in OH
Legal business name
PEAK PERFORMANCE PHYSICAL THERAPY
Practice address
230 Windsor Dr
Cortland, OH 44410-2703
Phone
(330) 637-6000
Fax
(330) 637-6002
NPI assigned
Jun 5, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Greg David HuffmanNPI 1740337443
Title
PT/Owner
Phone
(330) 984-2834

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 Therapist 225100000X 011591 OH Primary

Addresses

Primary practice location

230 Windsor Dr
Cortland, OH 44410-2703

Mailing address

230 Windsor Dr
Cortland, OH 44410-2703
Phone (330) 637-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731017223 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880908011 Receives reassigned benefits from 6 practitioners
Practice locations: Cortland, OH; North Lima, OH; Warren, OH

National Provider Directory

National Provider Directory

Locations

230 Windsor Dr
Cortland, OH 44410
Phone (330) 637-6000

11623 Market St
North Lima, OH 44452
Phone (234) 759-3200

1244 E Market St
Warren, OH 44483
Phone (330) 395-6101

Practitioners & affiliated clinicians

Practitioners 8

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": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1447630348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WINDSOR DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444102703",
            "telephone_number": "330-637-6000",
            "fax_number": "330-637-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WINDSOR DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444102703",
            "telephone_number": "330-637-6000",
            "fax_number": "330-637-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "330-984-2834"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.