Organization Active NPI

Peak Performance Sports and Family Medicine LLC

  • Sports Medicine (Family Medicine) Physician
  • Erie, PA
National Provider Identifier
1881429702
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
PEAK PERFORMANCE SPORTS AND FAMILY MEDICINE LLC
Practice address
6023 West Ridge Road
Erie, PA 16506
Phone
(440) 344-6662
Fax
(717) 214-3009
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Nathaniel Scott Franley, M.D.NPI 1992096549
Title
Owner
Phone
(440) 344-6662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

6023 West Ridge Road
Erie, PA 16506

Mailing address

6023 West Ridge Road
Erie, PA 16506
Phone (440) 344-6662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241114003357 PA Part B Supplier - Clinic/Group Practice 2062946965 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

6023 W Ridge Rd
Erie, PA 16506
Phone (814) 881-5299

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1881429702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 WEST RIDGE ROAD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16506",
            "telephone_number": "440-344-6662",
            "fax_number": "717-214-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6023 WEST RIDGE ROAD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16506",
            "telephone_number": "440-344-6662",
            "fax_number": "717-214-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE SPORTS AND FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "FRANLEY",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-344-6662",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.