NPIMap

Organization Active NPI

BDM Associates LLC

Doing business as Peak Performance Physical Therapy & Sports Medicine

  • Physical Therapist
  • Columbia, MO
National Provider Identifier
1801847033
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BDM ASSOCIATES LLC
Doing business as
Peak Performance Physical Therapy & Sports Medicine
Practice address
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone
(573) 449-8771
Fax
(573) 449-6563
NPI assigned
May 12, 2006
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BDM ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Mrs. Brenda J Reeder
Title
Director of Billing
Phone
(573) 449-6082

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Athletic Trainer 2255A2300X
Occupational Therapist 225X00000X

Addresses

Primary practice location

3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517

Mailing address

3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771

Other identifiers 1

IdentifierTypeStateIssuer
834765000MedicaidMO

Other names 1

  • Peak Performance Physical Therapy & Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
BDM Associates LLC

Locations

3301 Berrywood Dr
Ste 2
Columbia, MO 65201
Phone (573) 449-8771

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1801847033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-449-8771",
            "fax_number": "573-449-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-449-8771",
            "fax_number": "573-449-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDM ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BDM ASSOCIATES LLC",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "573-449-6082",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834765000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Performance Physical Therapy & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.