Peak Performance Rehabilitation, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PEAK PERFORMANCE REHABILITATION, INC

Practice address

950 Main St
Suite B
Wartburg, TN 37887-4309

Phone

(423) 346-7333

Fax

(423) 346-7337

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Sean Galloway, PTNPI 1780692954

Title

President

Phone

(423) 346-7333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Joseph Sean Galloway, PT

  • Orthopedic Physical Therapist
  • Wartburg, TN
  • NPI 1780692954
  Authorized official Same address or phone
• Jon Michael Allen, OTRL

  • Occupational Therapist
  • Cookeville, TN
  • NPI 1083697221
  NPD (past)
• Kelvin Russell Smith II, PT, DPT

  • Physical Therapist
  • Jamestown, TN
  • NPI 1861086746
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831220037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MAIN ST",
            "address_2": "SUITE B",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874309",
            "telephone_number": "423-346-7333",
            "fax_number": "423-346-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MAIN ST",
            "address_2": "SUITE B",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874309",
            "telephone_number": "423-346-7333",
            "fax_number": "423-346-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-346-7333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729256",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrea Rose Pease, PHARMD
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• Jonna Leeann Pittman, PA-C
• Jennie Reagan, CCC-SLP
• Meagan Elizabeth Redmon, MSN, FNP-BC

• Physical Therapy Clinic/Center in Wartburg, TN
• Providers in Wartburg, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.