Peak Performance Sports Chiropractic & Rehab LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

PEAK PERFORMANCE SPORTS CHIROPRACTIC & REHAB LLC

Practice address

1515 Kestrel Way
Brandon, FL 33511-8336

Phone

(517) 242-2781

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Rogers, DCNPI 1700546835

Title

Owner/President

Phone

(517) 242-2781

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kenneth Earl Rogers, DC

  • Chiropractor
  • East Lansing, MI
  • NPI 1700546835

  Sports Physician

  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1578330338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 KESTREL WAY",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 KESTREL WAY",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118336",
            "telephone_number": "517-242-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE SPORTS CHIROPRACTIC & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "517-242-2781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight Lavon Payne
• Julie Payne, M.S., C.C.C.
• Tonja Payne
• Pdarby of Florida Inc
• Debra Peacock, RDH
• Evelyn Pearce-Fearon, LCSW
• Pearl Rose Wellness, Inc.
• Madison Raye Smith Pearson, DO
• Patricia Loretta Pearson
• Deanna Pecina

• Sports Physician Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.