Organization Active NPI

Peak Physiotherapy PLLC

  • Physical Therapist
  • Omak, WA
National Provider Identifier
1609528603
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PHYSIOTHERAPY PLLC
Practice address
101 E Dewberry Ave
Omak, WA 98841-9543
Phone
(509) 557-6494
NPI assigned
Jan 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Austin G Baker, PT, DPTNPI 1770253080
Title
Doctor of Physical Therapy
Phone
(509) 557-6494

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

101 E Dewberry Ave
Omak, WA 98841-9543

Mailing address

101 E Dewberry Ave
Omak, WA 98841-9543

Other names 1

  • PEAK PHYSIO Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220222000494 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931593779 Receives reassigned benefits from 1 practitioner
Practice locations: Omak, WA

National Provider Directory

National Provider Directory

Locations

101 E Dewberry Ave
Omak, WA 98841
Phone (509) 429-6887

Practitioners & affiliated clinicians

Practitioners 1

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": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1609528603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E DEWBERRY AVE",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E DEWBERRY AVE",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419543",
            "telephone_number": "509-557-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSIOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "509-557-6494",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEAK PHYSIO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PEAK PHYSIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omak, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.