Organization Active NPI

Peak Physical Therapy and Sports Medicine Center of Plano PLLC

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1679784862
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTER OF PLANO PLLC
Practice address
2200 Los Rios Blvd
Suite 132
Plano, TX 75074-3400
Phone
(972) 509-5070
Fax
(972) 509-1557
NPI assigned
May 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Steven Cole, PT
Title
Managing Partner
Phone
(972) 509-5070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2200 Los Rios Blvd
Suite 132
Plano, TX 75074-3400

Mailing address

PO Box 660046
Dallas, TX 75266-0046
Phone (469) 644-7747

Other identifiers 2

IdentifierTypeStateIssuer
191637101MedicaidTX
0038PQOtherTXBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1679784862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660046",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660046",
            "telephone_number": "469-644-7747",
            "fax_number": "972-509-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD",
            "address_2": "SUITE 132",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743400",
            "telephone_number": "972-509-5070",
            "fax_number": "972-509-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTER OF PLANO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-27",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "972-509-5070",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191637101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0038PQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.