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JACKSONVILLE PEAK PERFORMANCE SPORTS & PHYSICAL THERAPY, L.L.C.
NPI 1164482402
Specialist in Jacksonville, NC

Active since March 23, 2006
122 BRANCHWOOD SHOPPING CTR, JACKSONVILLE, NC 28546(910) 938-7555(910) 938-7544 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 30, 2018, Aug 14, 2017 (2 updates tracked since 2017).

About Jacksonville Peak Performance Sports & Physical Therapy, L.l.c. NPPES

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

JACKSONVILLE PEAK PERFORMANCE SPORTS & PHYSICAL THERAPY, L.L.C. (NPI 1164482402) is a healthcare organization registered as a specialist in Jacksonville, North Carolina and active in the NPI registry since March 2006. The organization lists Joseph Laurent, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164482402
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACKSONVILLE PEAK PERFORMANCE SPORTS & PHYSICAL THERAPY, L.L.C.
Location Address122 BRANCHWOOD SHOPPING CTRJacksonville, NC 28546-5800
Mailing Address607 Dewey Ave Nw, Suite 300Grand Rapids, MI 49504-7335 · (616) 356-5000 · Fax (616) 356-5001
Phone(910) 938-7555
Fax(910) 938-7544
Organization SubpartNo
Authorized OfficialJoseph LaurentAuthorized Official · (616) 356-5011
Enumeration DateMarch 23, 2006
Last NPPES UpdateApril 30, 20182 updates tracked since enumeration
✔ NPI 1164482402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
122 BRANCHWOOD SHOPPING CTR, Jacksonville, NC 28546
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Other Identifiers 2

Other017PRNC · Blue Cross Blue Shield
Medicaid7211944NC

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY ALDI DPT
Physical Therapist
122 BRANCHWOOD SHOPPING CTR
JACKSONVILLE, NC 28546
Onslow County (910) 938-7555
DARRIN EUGENE MADOLE PT
Physical Therapist
122 BRANCHWOOD SHOPPING CTR
JACKSONVILLE, NC 28546
Onslow County (910) 938-7555
JOSE LUIS DEJESUS DPT
Physical Therapist
122 BRANCHWOOD SHOPPING CTR
JACKSONVILLE, NC 28546
Onslow County (910) 938-7555
JERRY DITZ DPT
Physical Therapist
122 BRANCHWOOD SHOPPING CTR
JACKSONVILLE, NC 28546
Onslow County (910) 938-7555
DOMINIC MICHAEL REALI DPT
Physical Therapist
122 BRANCHWOOD SHOPPING CTR
JACKSONVILLE, NC 28546
Onslow County (910) 938-7555
JESSICA DUEHRING M.P.T.
Physical Therapist
122 BRANCHWOOD SHOPPING CTR
JACKSONVILLE, NC 28546
Onslow County (910) 938-7555
ELIZABETH WILLIAMSON PT
Physical Therapist
122 BRANCHWOOD SHOPPING CTR
JACKSONVILLE, NC 28546
Onslow County (910) 938-7555
PAUL TRACY HINES PT
Physical Therapist
122 BRANCHWOOD SHOPPING CTR
JACKSONVILLE, NC 28546
Onslow County (910) 938-7555

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 Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.'s NPI number?

The NPI number for Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. is 1164482402. It was assigned to this organization in the NPPES registry on March 23, 2006.

Where is Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. located?

Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. is located at 122 Branchwood Shopping Ctr, Jacksonville, NC 28546. The listed phone number is (910) 938-7555.

What is Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. accept?

Health plans from Blue Cross and Blue Shield of NC list Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.