Organization Active NPI

Peak Phystherapy & Sports Med@ Michael Johnson Perf Center Eppl PLLC

  • Physical Therapist
  • McKinney, TX
National Provider Identifier
1770791626
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PHYSTHERAPY & SPORTS MED@ MICHAEL JOHNSON PERF CENTER EPPL PLLC
Practice address
6051 Alma Dr
McKinney, TX 75070
Phone
(972) 569-9050
Fax
(972) 569-9076
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Jon Poe, PT
Title
PT Owner
Phone
(972) 569-9050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X

Addresses

Primary practice location

6051 Alma Dr
McKinney, TX 75070

Mailing address

PO Box 674138
Dallas, TX 75267
Phone (214) 369-8555

Other identifiers 1

IdentifierTypeStateIssuer
0035QAOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

6051 Alma Rd
McKinney, TX 75070
Phone (469) 424-6572

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1770791626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674138",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75267",
            "telephone_number": "214-369-8555",
            "fax_number": "214-369-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 ALMA DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "972-569-9050",
            "fax_number": "972-569-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSTHERAPY & SPORTS MED@ MICHAEL JOHNSON PERF CENTER EPPL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PT OWNER",
        "authorized_official_telephone_number": "972-569-9050",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0035QA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.