NPIMap

Organization Active NPI

Peak Fitness and Physical Therapy, PLLC

Doing business as Peak Fitness and Physical Therapy

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1679858591
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6391 Issued in TN
Legal business name
PEAK FITNESS AND PHYSICAL THERAPY, PLLC
Doing business as
Peak Fitness and Physical Therapy
Practice address
1915 Broad St
Chattanooga, TN 37408-1716
Phone
(423) 468-4067
Fax
(423) 370-1670
NPI assigned
Oct 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Rebecca A Wykle, PT, DPT, SCSNPI 1235251885
Title
Owner
Phone
(423) 468-4067

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 6391 TN Primary

Addresses

Primary practice location

1915 Broad St
Chattanooga, TN 37408-1716

Mailing address

PO Box 4744
Chattanooga, TN 37405-0744
Phone (423) 468-4067

Other names 1

  • Peak Fitness and Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111202000725 TN Part B Supplier - Clinic/Group Practice 1355516311 Receives reassigned benefits from 8 practitioners
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

1915 Broad St
Chattanooga, TN 37408
Phone (423) 468-4067

Practitioners & affiliated clinicians

Practitioners 10

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": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1679858591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4744",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374050744",
            "telephone_number": "423-468-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 BROAD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374081716",
            "telephone_number": "423-468-4067",
            "fax_number": "423-370-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK FITNESS AND PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "WYKLE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-468-4067",
        "authorized_official_credential": "PT, DPT, SCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Fitness and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.