Active NPI
Peak Physical Therapy LLC
- Physical Medicine & Rehabilitation Physician
- Woodville, OH
National Provider Identifier
1992803894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT-05091
- Legal business name
- PEAK PHYSICAL THERAPY LLC
- Practice address
- 108 E Main St Ste B
Woodville, OH 43469-1209 - Phone
- (419) 849-2900
- Fax
- (419) 849-2901
- NPI assigned
- Sep 21, 2006
- Last updated
- Aug 22, 2020
- 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
- Alyssa M Lecurgo
- Title
- Business Administrator
- Phone
- (419) 699-4189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT-05091 | OH | Primary |
Addresses
Primary practice location
108 E Main St Ste B
Woodville, OH 43469-1209
Mailing address
108 E Main St Ste B
Woodville, OH 43469-1209
Phone (419) 849-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296565972-009 | Other | OH | MEDICAL MUTUAL OF OHIO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
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.
-
- Physical Therapist
- Sandusky, OH
- NPI 1902887797
-
- Physical Therapist
- Toledo, OH
- NPI 1770280638
-
- Physical Therapist
- Toledo, OH
- NPI 1487734992
-
- Physical Therapist
- Toledo, OH
- NPI 1033712658
-
- Physical Therapist
- Hubbard, OH
- NPI 1497984132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992803894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E MAIN ST STE B",
"city": "WOODVILLE",
"state": "OH",
"postal_code": "434691209",
"telephone_number": "419-849-2900",
"fax_number": "419-849-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E MAIN ST STE B",
"city": "WOODVILLE",
"state": "OH",
"postal_code": "434691209",
"telephone_number": "419-849-2900",
"fax_number": "419-849-2901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LECURGO",
"authorized_official_first_name": "ALYSSA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "419-699-4189"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "PT-05091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "296565972-009",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.