PEAK ORTHOPEDIC AND SPORTS PHYSICAL THERAPY INC (NPI# 1205021276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205021276 |
| Entity Type | Organization |
| Organization Name | PEAK ORTHOPEDIC AND SPORTS PHYSICAL THERAPY INC |
| Practice Address |
14841 179th Ave Se Suite 340 Monroe WA 98272-1127 |
| Practice Telephone | 3607947520 |
| Practice Fax Number | 3607948947 |
| Mailing Telephone | 3607947520 |
| Mailing Fax Number | 3607948947 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2009-02-18 |
| Authorized Official Name | BRIAN J RUSSON (OWNER) |
| Authorized Official Telephone | 3607947520 |
| Authorized Official Credential | MS PT ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT0000754 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7116288 | 05 |
| Street Address |
14841 179TH AVE SE SUITE 340 |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731594 | Brian Joseph Russon | Physical Therapist | 14841 179th Ave Se, Suite 340, Monroe, WA 98272-1161 | 2005-06-22 |
| 1033653142 | Larissa Quadracci Mattei | Physician Assistant | 14841 179th Ave Se, Suite 330, Monroe, WA 98272-1127 | 2016-12-07 |
| 1609256924 | Allison Loretta Seale | Family Medicine | 14841 179th Ave Se, Monroe, WA 98272-1127 | 2015-06-02 |
| 1407195282 | Dr. Douglas K. White, Pllc | Non-Pharmacy Dispensing Site | 14841 179th Ave Se, Suite 230, Monroe, WA 98272-1127 | 2013-02-13 |
| 1104165984 | Neary Naturopathic Clinic, LLC | Non-Pharmacy Dispensing Site | 14841 179th Ave Se, Suite 230, Monroe, WA 98272-1127 | 2013-02-13 |
| 1972818607 | Rebecca Claire Gianotti | Optometrist | 14841 179th Ave Se, Suite 110, Monroe, WA 98272-1127 | 2010-08-18 |
| 1841479300 | Monroe Vision Clinic, Inc | Optometrist | 14841 179th Ave Se, Suite 110, Monroe, WA 98272-1127 | 2007-10-31 |
| 1437273034 | Erin Maureen Robinson | Audiologist | 14841 179th Ave Se, Monroe, WA 98272-1127 | 2007-03-19 |
| 1144362047 | Proliance Surgeons Inc Ps | Surgery | 14841 179th Ave Se, Suite 220, Monroe, WA 98272-1127 | 2007-02-14 |
| 1184770398 | Herbert Wesley Courtney Jr. | Optometrist | 14841 179th Ave Se, Ste 110, Monroe, WA 98272-1127 | 2007-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1568968659 | Good 2 Be Physical Therapy, LLC | Clinic/Center | 1101 N 3rd St, Monroe, LA 71201-5247 | 2018-04-05 |
| 1144726928 | Evans Physical Therapy & Sport Performance, LLC | Clinic/Center | 2585 W Roosevelt Blvd, Monroe, NC 28110-0418 | 2018-04-02 |
| 1467975615 | Movement Ministry LLC | Clinic/Center | 428 S Monroe St Ste 106, Monroe, MI 48161-2249 | 2017-07-19 |
| 1043756778 | Divine Spine Physical Therapy and Yoga LLC | Clinic/Center | 7 Centre Dr Ste 9, Monroe, NJ 08831-1565 | 2017-01-19 |
| 1669887949 | Physical Therapy In Motion, Inc. | Clinic/Center | 4075 Sterlington Rd, Monroe, LA 71203-2535 | 2014-06-25 |
| 1871764001 | Aeon Physical Therapy, P.C. | Clinic/Center | 238 Monroe Tpke, Suite A, Monroe, CT 06468-2247 | 2008-03-15 |
| 1124232889 | Restore Physical Therapy,llc | Clinic/Center | 5000 Forsythe Byp Ste B, Monroe, LA 71201-2168 | 2007-05-10 |
| 1477555142 | P.t. Services Rehabilitation, Inc. | Clinic/Center | 15555 S Telegraph Rd, Suite 13, Monroe, MI 48161-4000 | 2005-08-12 |
| 1407233828 | New Health Physical Therapy, L.L.C. | Clinic/Center | 1900 Lamy Ln, Suite C, Monroe, LA 71201-9207 | 2015-05-05 |
| Find all providers in MONROE | ||||
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| 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.