MR. JACK D. PEAK
NPI 1043594013
Physical Therapist in Loma Linda, CA

Active since October 07, 2011
11665 LAUREL AVE, LOMA LINDA, CA 92354(909) 838-2679 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jack D. Peak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK D. PEAK (NPI 1043594013) is an individual physical therapist in Loma Linda, California, licensed in California (5824) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1043594013
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. JACK D. PEAK
Location Address11665 LAUREL AVELoma Linda, CA 92354-6721
Mailing Address11665 Laurel AveLoma Linda, CA 92354-6721 · (909) 838-2679
Sole ProprietorNo
Enumeration DateOctober 7, 2011
NPI 1043594013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · 5824
Definition
Physical 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.
11665 LAUREL AVE, Loma Linda, CA 92354

Other Identifiers 2

Medicare PIN5824CA
Medicaid5824CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Peak's NPI number?

The NPI number for Jack Peak is 1043594013. It was assigned to this individual provider in the NPPES registry on October 7, 2011.

Where is Jack Peak located?

Jack Peak practices at 11665 Laurel Ave, Loma Linda, CA 92354. The listed phone number is (909) 838-2679.

What is Jack Peak's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Jack Peak was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.