NPIMap

Organization Active NPI

Peak Family Chiropractic LLC

  • Chiropractor
  • Fairlawn, OH
National Provider Identifier
1649528902
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEAK FAMILY CHIROPRACTIC LLC
Practice address
132 Merz Blvd
Fairlawn, OH 44333-2816
Phone
(330) 670-9400
Fax
(330) 670-9401
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Jeremiah Freedman, DC.NPI 1508924929
Title
Owner
Phone
(330) 670-9400

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X OH Primary

Addresses

Primary practice location

132 Merz Blvd
Fairlawn, OH 44333-2816

Mailing address

3029 Smith Road
Suite 400
Fairlawn, OH 44333-3366
Phone (330) 670-9400

Other names 1

  • Peak Physical Medicine LLC. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121210000191 OH Part B Supplier - Clinic/Group Practice 9032361563 Receives reassigned benefits from 13 practitioners
Practice locations: Fairlawn, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1649528902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 SMITH ROAD",
            "address_2": "SUITE 400",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333366",
            "telephone_number": "330-670-9400",
            "fax_number": "330-670-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MERZ BLVD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332816",
            "telephone_number": "330-670-9400",
            "fax_number": "330-670-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-670-9400",
        "authorized_official_credential": "DC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Physical Medicine LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Peak Physical Medicine LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.