Peak Rehabilitation and Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6262252-2401 Issued in UT

Legal business name

PEAK REHABILITATION AND SPORTS MEDICINE

Practice address

6782 S 1300 E
Salt Lake City, UT 84121-2719

Phone

(801) 568-0240

Fax

(801) 568-9336

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bartley Brett Mortensen, MS, PT, ATC

Title

President

Phone

(801) 568-0240

Specialties & licenses 6

Addresses

Other identifiers 2

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609073741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6782 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212719",
            "telephone_number": "801-568-0240",
            "fax_number": "801-568-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6782 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212719",
            "telephone_number": "801-568-0240",
            "fax_number": "801-568-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK REHABILITATION AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "BARTLEY",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-568-0240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6262252-2401",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": "UT",
            "license": "5571167-2401",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "UT",
            "license": "5132199-2401",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "5132199-2401",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "5571167-2401",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "6262252-2401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529596285001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522371229001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peaceful Solutions Counseling LLC
• Amber Peacock
• Charlotte Peacock
• Jordan B. Peacock, MD
• Stuart Richard Peacock
• Peak Specialty Group
• Peak Specialty Group Hospice
• Peak Therapy Clinic
• Deborah Peana, MD, PHD
• Matthew Arthur Pearce, MD

• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.