Peake OT Myofascial Release

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PEAKE OT MYOFASCIAL RELEASE

Doing business as

Peake OT
Peake OT MFR

Practice address

1140 W Capitol Ave
Bismarck, ND 58501-1306

Phone

(701) 450-1900

Fax

(701) 847-7417

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Michelle M Peake, OTR/LNPI 1811173834

Title

Occupational Therapist

Phone

(701) 450-1900

Specialties & licenses 1

Addresses

Other names 2

• Peake OT Doing business as
• Peake OT MFR Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle M Peake, OTR/L

  • Occupational Therapist
  • Bismarck, ND
  • NPI 1811173834

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1508483900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011306",
            "telephone_number": "701-450-1900",
            "fax_number": "701-847-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011306",
            "telephone_number": "701-450-1900",
            "fax_number": "701-847-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAKE OT MYOFASCIAL RELEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "PEAKE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "701-450-1900",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peake OT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peake OT MFR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paxora Counseling, PLLC
• Jesus Adalberto Payan Chacon, LAPC
• Victoria Olivia Payan, LPCC
• Peace of Mind Counseling, PLLC
• Peak Chiropractic Inc.
• Michelle M Peake, OTR/L
• Abby Pechota
• Monique Alexandra Pederson
• Pedro G Mendoza MD PC (Pneumos Lung and Sleep Specialists)
• Pedro G. Mendoza M.D. P.C. (Pneumos Lung and Sleep Specialist)

• Occupational Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.