Peak Physical Therapy LLC.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

004663 Issued in CT

Legal business name

PEAK PHYSICAL THERAPY LLC.

Practice address

550 Chase Ave
Waterbury, CT 06704-1904

Phone

(203) 757-0100

Fax

(203) 757-0102

NPI assigned

Feb 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Keith Sargent Havemeyer, MS, PT, OCS, FAAOMPTNPI 1720201932

Title

Owner

Phone

(203) 757-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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.

• Keith S Havemeyer, PT, OCS, FAAOMPT

  • Physical Therapist
  • Waterbury, CT
  • NPI 1720201932
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Taylor Perin, DPT

  • Physical Therapist
  • Waterbury, CT
  • NPI 1396570099
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1730486804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CHASE AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041904",
            "telephone_number": "203-757-0100",
            "fax_number": "203-757-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CHASE AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041904",
            "telephone_number": "203-757-0100",
            "fax_number": "203-757-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "HAVEMEYER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "SARGENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-757-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT, OCS, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CT",
            "license": "004663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen E Pavlik
• Joan Pavlinsky, LCSW
• Gabriela Pawelka
• Chrystel Pawly, MD
• Peaceful Minds Treatment Center LLC
• Melissa M Pearlstone, M.D.
• Chanta Peart, MD
• Brian Peck, MD
• Richard L. Peck
• Pediatric Assoc of Conn PC

• Rehabilitation Clinic/Center in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Rehabilitation Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.