Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEAK PHYSICAL MEDICINE AND WELLNESS PLLC
NPI 1679305510
Pain Medicine - Pain Medicine in Fort Worth, TX

Active since August 19, 2024
6451 CAMP BOWIE BLVD, FORT WORTH, TX 76116(817) 882-6754 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 27, 2024, Aug 19, 2024 (2 updates tracked since 2024).

About Peak Physical Medicine And Wellness Pllc NPPES

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

PEAK PHYSICAL MEDICINE AND WELLNESS PLLC (NPI 1679305510) is a healthcare organization registered as a pain medicine in Fort Worth, Texas and active in the NPI registry since August 2024. The organization lists Andre Marse, Manager, as its authorized official.

NPPES Registry Identity

NPI1679305510
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NamePEAK PHYSICAL MEDICINE AND WELLNESS PLLC
Location Address6451 CAMP BOWIE BLVDFort Worth, TX 76116-4336
Mailing Address6451 Camp Bowie BlvdFt Worth, TX 76116-4336 · (817) 882-6754
Organization SubpartNo
Authorized OfficialAndre MarseManager · (504) 919-7360
Enumeration DateAugust 19, 2024
Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1679305510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
6451 CAMP BOWIE BLVD, Fort Worth, TX 76116

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 Physical Medicine And Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Peak Physical Medicine And Wellness PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1598187270
6451 CAMP BOWIE BLVD
Fort Worth, TX 76116
(817) 882-6754
Same address
Chiropractic
NPI 1154335552
2901 ACME BRICK PLZ SUITE 100
Fort Worth, TX 76109
(817) 882-6754
✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1316772775
3200 RIVERFRONT DR STE 207
Fort Worth, TX 76107
(817) 882-6754
✔ PECOS✔ Accepts Medicare3.6 mi

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 Physical Medicine And Wellness PLLC's NPI number?

The NPI number for Peak Physical Medicine And Wellness PLLC is 1679305510. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Peak Physical Medicine And Wellness PLLC located?

Peak Physical Medicine And Wellness PLLC is located at 6451 Camp Bowie Blvd, Fort Worth, TX 76116. The listed phone number is (817) 882-6754.

What is Peak Physical Medicine And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Peak Physical Medicine And Wellness PLLC enrolled in Medicare?

Yes. Peak Physical Medicine And Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peak Physical Medicine And Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Peak Physical Medicine And Wellness PLLC, in Chiropractic and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peak Physical Medicine And Wellness PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Peak Physical Medicine And Wellness PLLC 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 Physical Medicine And Wellness PLLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.