NPIMap

Organization Active NPI

Peak Performance Physical Therapy & Sports Medicine, Inc.

  • Physical Therapist
  • Appleton, WI
National Provider Identifier
1730105008
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Practice address
2901 E Enterprise Ave Ste 600
Appleton, WI 54913-7401
Phone
(920) 738-0671
Fax
(920) 738-0773
NPI assigned
Jul 13, 2006
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Ms. Kari Sturtevant, PT,OCSNPI 1093899536
Title
Buisness Owner
Phone
(920) 738-0671

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

2901 E Enterprise Ave Ste 600
Appleton, WI 54913-7401

Mailing address

2901 E Enterprise Ave Ste 600
Appleton, WI 54913-7401
Phone (920) 738-0671

Other names 1

  • none Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000737 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052209962 Receives reassigned benefits from 9 practitioners
Practice locations: Appleton, WI

National Provider Directory

National Provider Directory

Locations

279 N Altenhofen Dr
Appleton, WI 54913
Phone (920) 720-0660

2901 E Enterprise Ave
Ste 600
Appleton, WI 54913
Phone (920) 738-0671

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1730105008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E ENTERPRISE AVE STE 600",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137401",
            "telephone_number": "920-738-0671",
            "fax_number": "920-738-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E ENTERPRISE AVE STE 600",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137401",
            "telephone_number": "920-738-0671",
            "fax_number": "920-738-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "STURTEVANT",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "BUISNESS OWNER",
        "authorized_official_telephone_number": "920-738-0671",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT,OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.