Organization Active NPI

Peaked Physique LLC

  • Occupational Therapist
  • Lauderhill, FL
National Provider Identifier
1740918242
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PEAKED PHYSIQUE LLC
Practice address
7962 NW 51St CT
Lauderhill, FL 33351-5012
Phone
(954) 548-4176
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Caryn RolloNPI 1477811008
Title
Owner
Phone
(954) 548-4176

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

7962 NW 51St CT
Lauderhill, FL 33351-5012

Mailing address

7962 NW 51St CT
Lauderhill, FL 33351-5012

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1740918242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7962 NW 51ST CT",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7962 NW 51ST CT",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515012",
            "telephone_number": "954-548-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAKED PHYSIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "ROLLO",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-548-4176"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.