Organization Active NPI

Peak Performance Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Solana Beach, CA
National Provider Identifier
1487139671
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, MPTNPI 1982655742
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.