NPIMap

Organization Active NPI

Jacob Pistor

Doing business as Peak Recovery Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1932553880
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
JACOB PISTOR
Doing business as
Peak Recovery Services, LLC
Practice address
4895 Windward Passage Dr Ste 6
Boynton Beach, FL 33436-7741
Phone
(561) 877-8753
NPI assigned
Apr 18, 2016
Last updated
Apr 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Jacob Pistor
Title
Owner
Phone
(954) 727-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X FL Primary

Addresses

Primary practice location

4895 Windward Passage Dr Ste 6
Boynton Beach, FL 33436-7741

Mailing address

4895 Windward Passage Dr Ste 6
Boynton Beach, FL 33436-7741
Phone (561) 877-8753

Other names 1

  • Peak Recovery Services, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jacob Pistor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1932553880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PASSAGE DR STE 6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367741",
            "telephone_number": "561-877-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PASSAGE DR STE 6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367741",
            "telephone_number": "561-877-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB PISTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "PISTOR",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-727-6605"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Recovery Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.