NPIMap

Organization Active NPI

Peak Therapy Center LLC

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1477061570
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PEAK THERAPY CENTER LLC
Practice address
14504 SW 144TH Ter
Miami, FL 33186
Phone
(786) 303-9892
Fax
(305) 503-9353
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Mrs. Sasha Dimitrjevitch, LMHC
Title
Owner
Phone
(786) 303-9892

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X FL
Developmentally Disabled Services Day Training Agency 251C00000X
Early Intervention Provider Agency 252Y00000X
Developmental Disabilities Clinic/Center 261QD1600X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

14504 SW 144TH Ter
Miami, FL 33186

Mailing address

14504 SW 144TH Ter
Miami, FL 33186-5688
Phone (786) 303-9892

National Provider Directory

National Provider Directory

Locations

13195 SW 134th St
Ste 106
Miami, FL 33186
Phone (786) 250-3220

Practitioners & affiliated clinicians

Practitioners 7

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": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1477061570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14504 SW 144TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865688",
            "telephone_number": "786-303-9892",
            "fax_number": "305-503-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14504 SW 144TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "786-303-9892",
            "fax_number": "305-503-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "DIMITRJEVITCH",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-303-9892",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.