Peak Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PEAK PHYSICAL THERAPY

Practice address

7520 Rosette Dr NW
Albuquerque, NM 87120-5280

Phone

(505) 206-1148

NPI assigned

Mar 14, 2020

Last updated

Mar 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ethan Terry Stockton, DPTNPI 1689209959

Title

Physical Therapist/Sole Member

Phone

(505) 206-1148

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ethan Terry Stockton, DPT

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1689209959
  Authorized official Same address or phone

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584144000000",
    "number": "1699301200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 ROSETTE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205280",
            "telephone_number": "505-206-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 ROSETTE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205280",
            "telephone_number": "505-206-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A",
        "authorized_official_last_name": "STOCKTON",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/SOLE MEMBER",
        "authorized_official_telephone_number": "505-206-1148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Developmental Services, Inc
• Peak Family Dentistry LLC
• Peak Medical New Mexico No. 3 LLC (Las Palomas Center)
• Peak Medical New Mexico No. 3 LLC (Ladera Center)
• Peak Motion Physical Therapy, Inc.
• Sabrina Marie Peake, MA, LMSW
• Shauntelle Peake
• Peanut Butter & Jelly Family Services
• Peanut Butter and Jelly Family Services
• Daniel M. Pearce, R.PH.

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; 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.