Peak Performance Physical Therapy, PLLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH60200892 Issued in WA

Legal business name

PEAK PERFORMANCE PHYSICAL THERAPY, PLLC

Practice address

120 Keene Rd
Richland, WA 99352-8683

Phone

(509) 628-9966

Fax

(509) 628-9976

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Paul Dodson

Title

Member

Phone

(509) 628-9966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Walkenhorst

  • Physical Therapist
  • Marshalltown, IA
  • NPI 1437642204

  WA

  Medicare reassignment NPD
• Desirae Lyall, PT

  • Physical Therapist
  • Richland, WA
  • NPI 1922609882
  NPD
• Bryson J Bunch, D.C.

  • Chiropractor
  • Richland, WA
  • NPI 1104975358
  NPD (past)
• Oscar Del Valle, MSN -FNP

  • Nurse Practitioner
  • Benton City, WA
  • NPI 1477903029
  NPD (past)
• Gina Louise Gessler, DPT

  • Physical Therapist
  • Richland, WA
  • NPI 1588152284
  NPD (past)
• Leeanna Lynn Midkiff, DPT

  • Physical Therapist
  • Richland, WA
  • NPI 1598686685
  NPD (past)

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1851800742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 KEENE RD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528683",
            "telephone_number": "509-628-9966",
            "fax_number": "509-628-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KEENE RD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528683",
            "telephone_number": "509-628-9966",
            "fax_number": "509-628-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-628-9966",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH60200892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas William Paulakis, LMHCA
• Gregory Michael Paup
• Jennifer Pawlowski, B.S.
• Benjamin David Pe, M.D.
• Derek J Peacock, MD
• Anthony Pech, DO
• Jeremy Walter Peck, M.D., PH.D.
• Julia Peck, MS, CCC/SLP, IBCLC
• Steven Henry Peck, MACP
• Andrea Joanne Peiler, RNFA

• Rehabilitation Chiropractor in Richland, WA
• Providers in Richland, WA by specialty
• Rehabilitation Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.