Organization Active NPI

Peak Rehab, LLC

  • Sports Physical Therapist
  • Durham, NC
National Provider Identifier
1639949902
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
PEAK REHAB, LLC
Practice address
3400 Westgate Dr Ste B14C
Durham, NC 27707-2696
Phone
(984) 833-2535
Fax
(919) 313-4363
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Dr. Mollie Elizabeth Pathman, PT, DPTNPI 1912555384
Title
Physical Therapist / Owner
Phone
(919) 943-9449

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X Primary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X

Addresses

Primary practice location

3400 Westgate Dr Ste B14C
Durham, NC 27707-2696

Mailing address

1031 Bellenden Dr
Durham, NC 27713-9283
Phone (919) 943-9449

Other identifiers 1

IdentifierTypeStateIssuer
1912555384MedicaidNC

National Provider Directory

National Provider Directory

Locations

3400 Westgate Dr
Ste B14C
Durham, NC 27707
Phone (919) 597-8276

3400 Westgate Dr
Ste 14B
Durham, NC 27707

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": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1639949902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 BELLENDEN DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139283",
            "telephone_number": "919-943-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WESTGATE DR STE B14C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072696",
            "telephone_number": "984-833-2535",
            "fax_number": "919-313-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "PATHMAN",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "919-943-9449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912555384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.