PEAK PERFORMANCE PHYSICAL THERAPY, PC


Address: 2760 Rasmussen Rd, D2-d3, Park City, UT 84098-5684
Phone: 8017185378

PEAK PERFORMANCE PHYSICAL THERAPY, PC (NPI# 1073933966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073933966
Entity Type Organization
Organization Name PEAK PERFORMANCE PHYSICAL THERAPY, PC
Other Organization Name PEAK PERFORMANCE SPORTS MEDICINE
Practice Address 2760 Rasmussen Rd
D2-d3
Park City
UT 84098-5684
Mailing Address 515 Aspen Drive
Park City
UT 84098
Practice Telephone 8017185378
Mailing Telephone 8017185378
Enumeration Date 2014-04-18
Last Update Date 2014-05-01
Authorized Official Name DR. JESSICA JACOBSEN TIDSWELL (PRESIDENT)
Authorized Official Telephone 8017185378
Authorized Official Credential PT, DPT, SCS, AT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
5080663-2401 UT Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Peak Performance Sports Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487139671 Peak Performance Physical Therapy, PC Clinic/Center 2041 Newcastle Ave, Cardiff By The Sea, CA 92007-1762 2018-10-03

Office Location

Street Address 2760 RASMUSSEN RD
D2-D3
City PARK CITY
State UT
Zip Code 84098-5684

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861402026 Sari Ann Soutor Farhart Psychologist 2760 Rasmussen Rd, Ste 205, Park City, UT 84098-5684 2006-08-09
1972915874 Summit Sports Performance and Rehab Center, Pllc Clinic/Center 2760 Rasmussen Rd, Suites D2-d3, Park City, UT 84098-5684 2014-05-27
1063761914 Maesha Miller Occupational Therapist 2760 Rasmussen Rd, Summit Ctr, Bldg D, Park City, UT 84098-5684 2012-09-06
1083948343 Rebecca Ellen Price Marriage & Family Therapist 2760 Rasmussen Rd, 200, Park City, UT 84098-5684 2009-09-18
1790925394 Tyrene L Christopulos Occupational Therapist 2760 Rasmussen Rd, Park City, UT 84098-5684 2009-02-23
1689858631 Kwinten Kemp Counselor 2760 Rasmussen Rd, Building D, Suite 205, Park City, UT 84098-5684 2007-12-27
1952593568 Jessica J Tidswell Physical Therapist 2760 Rasmussen Rd, Suite D2-d3, Park City, UT 84098-5684 2007-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972069532 Natasha Nicolle Peterson Nurse Practitioner Stat Md, 1784 Uinta Way E, Park City, UT 84098 2019-02-19
1750732079 Rebecca Hansen Physical Therapist 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 2016-06-28
1497126130 Megan Franz Counselor 3100 Pinebrook Rd, Park City, UT 84098 2015-10-07
1568752541 Kortney James Stirland Pharmacist 750 Round Valley Drive #203, Park City, UT 84098 2011-04-12
1265763379 Amy S Koch Physical Therapy Assistant 1640 West Redstone Drive, Suite 200, Park City, UT 84098 2010-01-29
1134374648 Donna B Fischer General Practice 6531 N Landmark Dr., Park City, UT 84098 2008-11-25
1962659458 Patricia A Lindsay Phd Inc Psychologist 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 2008-08-26
1437314291 Jeffrey S Holverson Internal Medicine 6240 N Snowview Dr, Park City, UT 84098 2008-07-22
1578728515 Blair Archbold Smith Physical Therapist 6880 Canyon Drive Court, Park City, UT 84098 2008-07-18
1821255274 Beth Anita Rylands Physical Therapy Assistant 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 2008-05-21
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518574177 Motion Ut, LLC Clinic/Center 4554 Forestdale Dr Unit C16, Park City, UT 84098-1392 2020-09-28
1972915874 Summit Sports Performance and Rehab Center, Pllc Clinic/Center 2760 Rasmussen Rd, Suites D2-d3, Park City, UT 84098-5684 2014-05-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396344198 Shannon Ballinger Clinic/Center 1470 400 W, Salt Lake City, UT 84115 2020-10-22
1487261707 Precision Jointcare LLC Clinic/Center 12523 S Creek Meadow Rd Ste 109, Riverton, UT 84065-7299 2020-09-30
1184231664 Mountain Strong Spine and Performance Clinic/Center 1478 N 4925 W, Plain City, UT 84404-8300 2020-09-28
1881215085 Move Well Age Well, LLC Clinic/Center 2223 S Highland Dr Ste E6-256, Salt Lake City, UT 84106-3672 2020-04-29
1215557434 Basin Therapy LLC Clinic/Center 101 E 1875 S, Roosevelt, UT 84066-3828 2020-04-17
1780222893 Well Being Pelvic Physical Therapy Clinic/Center 111 E 5600 S Ste 222, Murray, UT 84107-8164 2019-12-19
1265094619 Recalibrate Physical Therapy Clinic/Center 3450 S 400 E, Salt Lake City, UT 84115-4604 2019-07-06
1598229155 Neurorev Pllc Clinic/Center 520 N Market Place Dr Ste 200, Centerville, UT 84014-4904 2019-01-29
1104395821 Color Country Physical Therapy LLC Clinic/Center 450 E Clinic Way, Ste B, Parowan, UT 84761 2018-11-26
1629556055 Advanced Balance and Physical Therapy LLC Clinic/Center 856 Sage Dr Ste 301b, Cedar City, UT 84720 2018-07-28
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Competitor

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City PARK CITY
Zip Code 84098

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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