NPIMap

Peak Performance Physical Therapy and Fitness LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Baton Rouge, LA

NPI 1659540474 · NPPES record last updated Nov 3, 2009

Key facts

NPI
1659540474
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
PEAK PERFORMANCE PHYSICAL THERAPY AND FITNESS LLC
Practice address
11320 Industriplex Blvd
Baton Rouge, LA 70809-4108
Phone
(225) 295-8183
Fax
(225) 246-8730
NPI assigned
Feb 26, 2008
Organization subpart
No

Authorized official

Name
Mr. Chris Dale Purvis, PT NPI 1174550560
Title
Administrator/Owner
Phone
(225) 295-8183

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 2

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LA Yes
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

11320 Industriplex Blvd
Baton Rouge, LA 70809-4108

Mailing address

11320 Industriplex Blvd
Baton Rouge, LA 70809-4108
Phone (225) 295-8183

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 3, 2009.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1659540474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 INDUSTRIPLEX BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094108",
            "telephone_number": "225-295-8183",
            "fax_number": "225-246-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 INDUSTRIPLEX BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094108",
            "telephone_number": "225-295-8183",
            "fax_number": "225-246-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "225-295-8183",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Durable Medical Equipment & Medical Supplies in Louisiana

Sources for this page

Verify at the official NPI Registry.