PEAK PERFORMANCE THERAPY LLC NPI 1003011537

Physical Therapist in Urbanna, VA

NPI 1003011537 Organization Physical Therapist

About PEAK PERFORMANCE THERAPY LLC

Peak Performance Therapy Llc is a provider established in Urbanna, Virginia specializing in physical therapist. The NPI number of Peak Performance Therapy Llc is 1003011537 and was assigned on June 2007. The practitioner's primary taxonomy code is 225100000X with license number 2305003508 (VA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Peak Performance Therapy Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Carol A Keenan Pt (Owner)

NPI

1003011537

Provider NamePEAK PERFORMANCE THERAPY LLC
Provider Location Address390 VIRGINIA ST URBANNA, VA 23175
Provider Mailing Address390 VIRGINIA ST B URBANNA, VA 23175
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-15-2007
Last Update Date08-14-2009


Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.2305003508
License StateVA
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

PEAK PERFORMANCE THERAPY LLC
390 VIRGINIA ST
URBANNA, VA
ZIP 23175
Phone: (804) 758-5588
Fax: (804) 758-5589

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Mailing Address

PEAK PERFORMANCE THERAPY LLC
390 VIRGINIA ST
B
URBANNA, VA
ZIP 23175
Phone: (804) 758-5588
Fax: (804) 758-5589



Authorized Official

Authorized Official Name CAROL A KEENAN PT
Authorized Official TitleOWNER
Authorized Official Phone(804) 758-5588

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
364394OTHER (01)VA
1003011537MEDICAID (05)VA
C10266MEDICARE PIN (08)

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386086643BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER, INC.
Organization
Family Medicine390 VIRGINIA ST SUITE A
URBANNA, VA 23175
(804) 285-6020
1598926164DR. GLEN D MONTEIRO MD
Individual
Family Medicine390 VIRGINIA ST SUITE A
URBANNA, VA 23175
(804) 285-6020
1639506538BON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Organization
Family Medicine390 VIRGINIA ST SUITE A
URBANNA, VA 23175
(804) 285-6020

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.