Peak Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017657 Issued in PA

Legal business name

PEAK PHYSICAL THERAPY, LLC

Practice address

109 Reynard Dr
Landenberg, PA 19350-1145

Phone

(610) 255-3686

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Christopher Vincent Campagna, MPTNPI 1265452916

Title

President

Phone

(610) 255-3686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Christopher Vincent Campagna, MPT

  • Physical Therapist
  • West Grove, PA
  • NPI 1265452916

  PA, Physical Therapist

  Medicare reassignment NPD Authorized official
• Anne Elizabeth Brush, PT, DPT

  • Physical Therapist
  • West Chester, PA
  • NPI 1790540615

  PA, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720184336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 REYNARD DR",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193501145",
            "telephone_number": "610-255-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 REYNARD DR",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193501145",
            "telephone_number": "610-255-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPAGNA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-255-3686",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph F Reilly, MA, MT-BC, LPC
• Zechariah Rodriguez

• All providers in Landenberg, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.