NPIMap

Organization Active NPI

Peak Performance Rehab, LLC

  • Physical Therapist
  • Florence, AL
National Provider Identifier
1992871073
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3581 Issued in AL
Legal business name
PEAK PERFORMANCE REHAB, LLC
Practice address
2310 Mall Rd
Florence, AL 35630-2809
Phone
(256) 764-4242
Fax
(256) 764-4343
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Ms. Tammy Landers
Title
Office Administrator
Phone
(256) 764-4242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PTH3605 AL
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PTH3581 AL Primary

Addresses

Primary practice location

2310 Mall Rd
Florence, AL 35630-2809

Mailing address

2310 Mall Rd
Florence, AL 35630-2809
Phone (256) 764-4242

Other identifiers 1

IdentifierTypeStateIssuer
529926190MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051021000927 AL Part B Supplier - Clinic/Group Practice 0749206308 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Florence, AL; Rogersville, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Peak Performance Rehab LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2310 Mall Rd
Florence, AL 35630
Phone (256) 764-4242

48 Market Sq
Rogersville, AL 35652
Phone (256) 247-5000

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1992871073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302809",
            "telephone_number": "256-764-4242",
            "fax_number": "256-764-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302809",
            "telephone_number": "256-764-4242",
            "fax_number": "256-764-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "LANDERS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "256-764-4242",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3605",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529926190",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.

Verify at the official NPI Registry.