PEAK ORTHOPEDIC & SPORTS PHYSICAL THERAPY INC
NPI 1205021276
Clinic/Center - Physical Therapy in Monroe, WA

Active since September 12, 2007
14841 179TH AVE SE, SUITE 340, MONROE, WA 98272(360) 794-7520(360) 794-8947 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peak Orthopedic & Sports Physical Therapy Inc NPPES

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

PEAK ORTHOPEDIC & SPORTS PHYSICAL THERAPY INC (NPI 1205021276) is a healthcare organization registered as a physical therapy in Monroe, Washington and active in the NPI registry since September 2007. The organization lists Brian J Russon, Owner, as its authorized official.

NPPES Registry Identity

NPI1205021276
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePEAK ORTHOPEDIC & SPORTS PHYSICAL THERAPY INC
Location Address14841 179TH AVE SE, SUITE 340Monroe, WA 98272-1127
Mailing Address14841 179th Ave Se, Suite 340Monroe, WA 98272-1127 · (360) 794-7520 · Fax (360) 794-8947
Fax(360) 794-8947
Organization SubpartNo
Authorized OfficialBrian J RussonOwner · (360) 794-7520
Enumeration DateSeptember 12, 2007
Last NPPES UpdateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1205021276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in WA · PT0000754
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
14841 179TH AVE SE, Monroe, WA 98272

Other Identifiers 1

Medicaid7116288WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peak Orthopedic & Sports Physical Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peak Orthopedic & Sports Physical Therapy Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1295731594
14841 179TH AVE SE SUITE 340
Monroe, WA 98272
(360) 794-7520
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Peak Orthopedic & Sports Physical Therapy Inc's NPI number?

The NPI number for Peak Orthopedic & Sports Physical Therapy Inc is 1205021276. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Peak Orthopedic & Sports Physical Therapy Inc located?

Peak Orthopedic & Sports Physical Therapy Inc is located at 14841 179th Ave SE Suite 340, Monroe, WA 98272. The listed phone number is (360) 794-7520.

What is Peak Orthopedic & Sports Physical Therapy Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Peak Orthopedic & Sports Physical Therapy Inc enrolled in Medicare?

Yes. Peak Orthopedic & Sports Physical Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peak Orthopedic & Sports Physical Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Peak Orthopedic & Sports Physical Therapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peak Orthopedic & Sports Physical Therapy Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Peak Orthopedic & Sports Physical Therapy Inc 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 Peak Orthopedic & Sports Physical Therapy Inc was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.