Peak Performance Sports And Physical Therapy, Llc in Grand Rapids - Occupational Therapist

Peak Performance Sports And Physical Therapy, Llc - NPI 1194714063

Peak Performance Sports And Physical Therapy, Llc is a Occupational Therapist in Grand Rapids, Michigan. Peak Performance Sports And Physical Therapy, Llc practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Peak Performance Sports And Physical Therapy, Llc is 1194714063. The last update date is 2023-08-24.

Peak Performance Sports And Physical Therapy, Llc's current location address is 625 Kenmoor Ave Se Ste 100, Grand Rapids, Michigan. You can contact this provider via phone number 6163565000 and fax number 6163565001. The mailing address for Peak Performance Sports And Physical Therapy, Llc is 625 Kenmoor Ave Se Ste 100, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Peak Performance Sports And Physical Therapy, Llc
Address 625 Kenmoor Ave Se Ste 100, Grand Rapids, Michigan
Phone Number 6163565000
Fax Number 6163565001
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Leaver Richard
Telephone Number 6163565000

NPI Number Detail

NPI Number 1194714063
Provider Enumeration Date 2005-10-13
Last Updated Date 2023-08-24

Provider Mailing Address Detail

Address 625 Kenmoor Ave Se Ste 100
City Grand Rapids
State Michigan (MI)
Post Code 495462395
Phone Number 6163565000
Fax Number 6163565001

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

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FAQs about Peak Performance Sports And Physical Therapy, Llc

What is the unique 10-digit identification code issued to Peak Performance Sports And Physical Therapy, Llc by the Centers for Medicare & Medicaid Services?

The Peak Performance Sports And Physical Therapy, Llc has been assigned the NPI (National Provider Identifier) 1194714063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Peak Performance Sports And Physical Therapy, Llc is physically located?

The Peak Performance Sports And Physical Therapy, Llc is situated at the following address: 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 495462395.

What is Peak Performance Sports And Physical Therapy, Llc's area of expertise and its corresponding taxonomy classification?

The Peak Performance Sports And Physical Therapy, Llc's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194714063 to Peak Performance Sports And Physical Therapy, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1194714063 to Peak Performance Sports And Physical Therapy, Llc on 2005-10-13.

As of what date was the information pertaining to Peak Performance Sports And Physical Therapy, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Peak Performance Sports And Physical Therapy, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-08-24.

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