Peak Performance Solutions LLC
Organization Active NPI Physical Therapist · Ferndale, MI
NPI 1992393417 · NPPES record last updated Jan 10, 2021
Key facts
- NPI
- 1992393417
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PEAK PERFORMANCE SOLUTIONS LLC
- Practice address
- 668 E 9 Mile Rd
Ferndale, MI 48220-1962 - Phone
- (586) 871-4805
- NPI assigned
- Jan 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Antwan Faraj, DPT
- Title
- Owner/Member
- Phone
- (586) 871-4805
Practitioners 11
-
Samuel Apple, DPT
-
Antwan Faraj, DPT
-
Vera Razburgaj, DPT
-
Evan Vasilauskas, DPT
-
Michael Funyak, PT
-
Stephen Magee, DPT, OCS
-
Dalton Smith, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220124000912 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1254723356 |
Receives reassigned benefits from 9 practitioners Practice locations: Ferndale, MI |
National Provider Directory
Locations
530 Livernois St
Ferndale, MI 48220
Phone (248) 733-3784
668 E 9 Mile Rd
Ferndale, MI 48220
Phone (218) 234-1597
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
668 E 9 Mile Rd
Ferndale, MI 48220-1962
Mailing address
344 E Harry Ave
Hazel Park, MI 48030-2055
Phone (586) 871-4805
Other providers in Ferndale, MI
- Floriola Pasho
- Radha Patel
- Path to Empowerment, PLLC
- Pathway Psychological Services PLLC
- Patrick Medical Equipment Inc
- Bonita M Pedrosi
- Pelvic Core Physical Therapy PLLC
- Mary Pendleton
- Elizabeth A Pensler
- Katherine Ann Peoples
All providers in Ferndale, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.