NPIMap

Organization Active NPI

Peak Performance Physical Therapy

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1750774022
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09031R Issued in LA
Legal business name
PEAK PERFORMANCE PHYSICAL THERAPY
Practice address
11320 Industriplex Blvd
Baton Rouge, LA 70809-4108
Phone
(225) 295-8183
Fax
(225) 295-8236
NPI assigned
Mar 11, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Ms. Joanne Chassaing
Title
Adm Asst
Phone
(225) 295-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 09031R LA Primary

Addresses

Primary practice location

11320 Industriplex Blvd
Baton Rouge, LA 70809-4108

Mailing address

11320 Industriplex Blvd
Baton Rouge, LA 70809-4108
Phone (225) 295-8183

Other identifiers 1

IdentifierTypeStateIssuer
721315267OtherLAPHYSICAL THERAPY

National Provider Directory

National Provider Directory

Locations

11320 Industriplex Blvd
Baton Rouge, LA 70809
Phone (225) 295-8183

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1750774022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 INDUSTRIPLEX BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094108",
            "telephone_number": "225-295-8183",
            "fax_number": "225-295-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 INDUSTRIPLEX BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094108",
            "telephone_number": "225-295-8183",
            "fax_number": "225-295-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "CHASSAING",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ADM ASST",
        "authorized_official_telephone_number": "225-295-8183",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09031R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "721315267",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.