Individual provider Active NPI

Lori Hartman Peak, DPT

  • Physical Therapist
  • High Point, NC
National Provider Identifier
1780625137
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23536 Issued in NC
Practice address
1030 Mall Loop Rd
High Point, NC 27262-7656
Phone
(336) 781-4320
Fax
(336) 781-4231
NPI assigned
Jun 9, 2006
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305005662 VA
Physical Therapist 225100000X P23536 NC Primary

Addresses

Primary practice location

1030 Mall Loop Rd
High Point, NC 27262-7656

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255

Other identifiers 8

IdentifierTypeStateIssuer
2281002OtherVAFIRST HEALTH
284203OtherVASOUTHERN HEALTH
364553080OtherVATRICARE
P00194716OtherVARAILROAD MEDICARE
TN0100OtherVAJOHN DEERE HEALTH
7559448OtherVAAETNA
137660OtherVABC/BS ANTHEM
2429864OtherVAUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040519001315 VA Practitioner - Physical Therapist in Private Practice 0749271708 Reassigns benefits to 1 organization
I20241104003606 NC Practitioner - Physical Therapist in Private Practice 0749271708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Point Physical Therapy LLCGroup PAC ID 4880989714, 4 clinicians

Practice addresses (Care Compare)

1030 Mall Loop Rd
High Point, NC 27262-7656
Phone (336) 781-4320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P23536NCMDPhysical Therapist
2305005662VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Physical Therapy Inc Physical Therapist CurrentSince Apr 15, 2023 Accepting new patients
High Point Physical Therapy LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
Therapy Associates of Martinsville, Inc. Past Accepting new patients

Locations

1030 Mall Loop Rd
High Point, NC 27262
Phone (336) 781-4320

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

4325 Brambleton Ave
Ste A
Roanoke, VA 24018

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1780625137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MALL LOOP RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627656",
            "telephone_number": "336-781-4320",
            "fax_number": "336-781-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK",
        "first_name": "LORI",
        "middle_name": "HARTMAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005662",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2281002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "284203",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "364553080",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00194716",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH",
            "identifier": "TN0100",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7559448",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS  ANTHEM",
            "identifier": "137660",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2429864",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.