PEAK PERFORMANCE PHYSICAL THERAPY AND FITNESS LLC (NPI# 1659540474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659540474 |
| Entity Type | Organization |
| Organization Name | PEAK PERFORMANCE PHYSICAL THERAPY AND FITNESS LLC |
| Practice Address |
11320 Industriplex Blvd Baton Rouge LA 70809-4108 |
| Practice Telephone | 2252958183 |
| Practice Fax Number | 2252468730 |
| Mailing Telephone | 2252958183 |
| Mailing Fax Number | 2252468730 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2009-11-03 |
| Authorized Official Name | MR. CHRIS DALE PURVIS (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 2252958183 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | LA | Suppliers |
| Street Address |
11320 INDUSTRIPLEX BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427086453 | Fabian A Roussel | Physical Therapist | 11320 Industriplex Blvd, Baton Rouge, LA 70809 | 2006-06-29 |
| 1750774022 | Peak Performance Physical Therapy | Physical Therapist | 11320 Industriplex Blvd, Baton Rouge, LA 70809-4108 | 2015-03-11 |
| 1750709218 | Kevin Kearney | Physical Therapist | 11320 Industriplex Blvd, Baton Rouge, LA 70809-4108 | 2014-04-02 |
| 1114153129 | Elizabeth Marie Leblanc | Occupational Therapist | 11320 Industriplex Blvd, Baton Rouge, LA 70809-4108 | 2009-06-04 |
| 1649339359 | Colleen Zimmerman | Physical Therapist | 11320 Industriplex Blvd, Baton Rouge, LA 70809 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116095 | Tina Mayo Womack | Durable Medical Equipment & Medical Supplies | 18017 Glen Park Dr, Baton Rouge, LA 70817-9583 | 2020-05-21 |
| 1043832843 | Arkla Ramps, LLC | Durable Medical Equipment & Medical Supplies | 13522 S Choctaw Dr Ste 103, Baton Rouge, LA 70815-2819 | 2020-05-14 |
| 1558992966 | Summit South Dme, LLC | Durable Medical Equipment & Medical Supplies | 9357 Interline Ave, Baton Rouge, LA 70809-1910 | 2020-02-04 |
| 1811533813 | Madison Mulkey | Durable Medical Equipment & Medical Supplies | 1556 Saint Rose Ave, Baton Rouge, LA 70808-1060 | 2019-11-25 |
| 1285275404 | Louisiana Assistive Technology Access Network | Durable Medical Equipment & Medical Supplies | 3042 Old Forge Dr Ste D, Baton Rouge, LA 70808-3182 | 2019-09-30 |
| 1275181331 | Fairburn Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 4306 Rhoda Dr, Baton Rouge, LA 70816-4136 | 2019-08-30 |
| 1336701671 | Rabun Dakota Jackson | Durable Medical Equipment & Medical Supplies | 2236 Hoyt Dr, Baton Rouge, LA 70816-3384 | 2019-07-08 |
| 1093288581 | Carl Ravey | Durable Medical Equipment & Medical Supplies | 2736 Oneal Ln Ste I, Baton Rouge, LA 70816-3186 | 2019-01-07 |
| 1235625641 | Dura Medic, LLC | Durable Medical Equipment & Medical Supplies | 8044 Summa Ave # B-2, Baton Rouge, LA 70809-3411 | 2018-07-09 |
| 1619465184 | Orthotic Specialties, LLC | Durable Medical Equipment & Medical Supplies | 5713 Superior Dr Ste B4, Baton Rouge, LA 70816-8015 | 2018-04-30 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on PEAK PERFORMANCE PHYSICAL THERAPY AND FITNESS LLC.
| 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.