Organization Active NPI

Peak Physiotherapy and Performance LLC

  • Physical Therapy Clinic/Center
  • Canal Winchester, OH
National Provider Identifier
1609383579
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT016405 Issued in OH
Legal business name
PEAK PHYSIOTHERAPY AND PERFORMANCE LLC
Practice address
5209 Ebright Rd
Suite 1
Canal Winchester, OH 43110-9721
Phone
(614) 467-0285
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Andrew Junak, PT, DPTNPI 1194286070
Title
Owner
Phone
(614) 467-0285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT016405 OH Primary

Addresses

Primary practice location

5209 Ebright Rd
Suite 1
Canal Winchester, OH 43110-9721

Mailing address

471 Cherry Hill CT
Lithopolis, OH 43136-9714
Phone (216) 402-9294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221013003642 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254707342 Receives reassigned benefits from 2 practitioners
Practice locations: Canal Winchester, OH

National Provider Directory

National Provider Directory

Locations

5209 Ebright Rd
Ste 1
Canal Winchester, OH 43110
Phone (216) 402-9294

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1609383579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 CHERRY HILL CT",
            "city": "LITHOPOLIS",
            "state": "OH",
            "postal_code": "431369714",
            "telephone_number": "216-402-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 EBRIGHT RD",
            "address_2": "SUITE 1",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109721",
            "telephone_number": "614-467-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSIOTHERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "JUNAK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-467-0285",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "PT016405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.