Active NPI
Peak Performance Sports Medicine Inc
- Physical Therapist
- Green River, WY
National Provider Identifier
1902095375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PEAK PERFORMANCE SPORTS MEDICINE INC
- Practice address
- 140 Commerce Drive
Green River, WY 82935 - Phone
- (307) 875-8492
- Fax
- (307) 875-7389
- NPI assigned
- Oct 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hayley M Strauss, MPT
- Title
- President
- Phone
- (307) 875-8492
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
140 Commerce Drive
Green River, WY 82935
Mailing address
PO Box 1497
Green River, WY 82935-1497
Phone (307) 875-8492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
140 Commerce Dr
Green River, WY 82935
Phone (303) 875-8492
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Green River, WY
- NPI 1487873782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519948800000",
"number": "1902095375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1497",
"city": "GREEN RIVER",
"state": "WY",
"postal_code": "829351497",
"telephone_number": "307-875-8492",
"fax_number": "307-875-7389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 COMMERCE DRIVE",
"city": "GREEN RIVER",
"state": "WY",
"postal_code": "82935",
"telephone_number": "307-875-8492",
"fax_number": "307-875-7389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK PERFORMANCE SPORTS MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-22",
"last_updated": "2018-03-02",
"status": "A",
"authorized_official_last_name": "STRAUSS",
"authorized_official_first_name": "HAYLEY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "307-875-8492",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green River, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.