Jason Jeremy Peak

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA48704 Issued in CA

Practice address

400 N Westfield St
Visalia, CA 93291-4203

Phone

(602) 388-7461

NPI assigned

Jul 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1720564859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N WESTFIELD ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914203",
            "telephone_number": "602-388-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WESTFIELD ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914203",
            "telephone_number": "602-388-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK",
        "first_name": "JASON",
        "middle_name": "JEREMY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48704",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA48704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna L Patterson, PH.D.
• Stacy L. Patterson, SPEECH LANGUAGE PATH
• Christina Patty, M.D.
• Dana Marie Paulsen, CRNA
• Peaceful Valley Home Care Senior Solutions LLC
• Jane Pease
• Tonya Sue Pedro
• Leandra Pedroza Sanchez
• Pegasus Medical Transportation
• Jodi Lynne Pegg, MPT

• Physical Therapy Assistant in Visalia, CA
• Providers in Visalia, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.