Active NPI
Peak Performance Physical Therapy PC
- Physical Therapy Clinic/Center
- Solana Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PEAK PERFORMANCE PHYSICAL THERAPY PC
- Practice address
- 247 S Highway 101
Solana Beach, CA 92075-1807 - Phone
- (760) 230-5432
- Fax
- (760) 655-4336
- NPI assigned
- Oct 3, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Caroline McClemons, MPT
- Title
- Ceo
- Phone
- (619) 920-7873
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240517000900 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5496196776 |
Receives reassigned benefits from 2 practitioners Practice locations: Solana Beach, CA |
National Provider Directory
National Provider DirectoryLocations
2041 Newcastle Ave
Cardiff by the Sea, CA 92007
Phone (760) 230-5432
247 S Highway 101
Solana Beach, CA 92075
Phone (760) 230-5432
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
247 S Highway 101
Solana Beach, CA 92075-1807
Mailing address
247 S Highway 101
Solana Beach, CA 92075-1807
Phone (760) 230-5432
Other practice location 1
2041 Newcastle Ave
Cardiff By The Sea, CA 92007-1762
Phone (760) 230-5432
Other practice location 2
2041 Newcastle Ave
Cardiff, CA 92007-1762
Phone (760) 230-5432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2024.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1487139671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 S HIGHWAY 101",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920751807",
"telephone_number": "760-230-5432",
"fax_number": "760-655-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 S HIGHWAY 101",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920751807",
"telephone_number": "760-230-5432",
"fax_number": "760-655-4336"
}
],
"practiceLocations": [
{
"address_1": "2041 Newcastle Ave",
"address_purpose": "LOCATION",
"city": "Cardiff By The Sea",
"state": "CA",
"postal_code": "920071762",
"country_code": "US",
"telephone_number": "760-230-5432",
"fax_number": "760-655-4336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2041 Newcastle Ave",
"address_purpose": "LOCATION",
"city": "Cardiff",
"state": "CA",
"postal_code": "920071762",
"country_code": "US",
"telephone_number": "760-230-5432",
"fax_number": "760-655-4336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-03",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "MCCLEMONS",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-920-7873",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Solana Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.