Active NPI
Peaked Physique LLC
- Occupational Therapist
- Lauderhill, FL
National Provider Identifier
1740918242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caryn Rollo
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Lauderhill, FL
- NPI 1477811008
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.