PEAK PHYSICAL THERAPY LLC. (NPI# 1730486804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730486804 |
| Entity Type | Organization |
| Organization Name | PEAK PHYSICAL THERAPY LLC. |
| Practice Address |
550 Chase Ave Waterbury CT 06704-1904 |
| Practice Telephone | 2037570100 |
| Practice Fax Number | 2037570102 |
| Mailing Telephone | 2037570100 |
| Mailing Fax Number | 2037570102 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | MR. KEITH SARGENT HAVEMEYER (OWNER) |
| Authorized Official Telephone | 2037570100 |
| Authorized Official Credential | MS, PT, OCS, FAA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
004663 | CT | Ambulatory Health Care Facilities |
| Street Address |
550 CHASE AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720201932 | Keith S Havemeyer | Physical Therapist | 550 Chase Ave, Waterbury, CT 06704-1904 | 2007-04-10 |
| 1467070664 | Thomas William Baker | Physical Therapist | 550 Chase Ave, Waterbury, CT 06704-1904 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
| 1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
| 1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
| 1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
| Find all providers in zip 06704 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518034156 | Robert P Hendrikson Md PC | Clinic/Center | 60 Westwood Ave, Suite 300, Waterbury, CT 06708 | 2006-11-29 |
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|---|---|---|---|---|
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| 1396354908 | Ptsma, Inc. | Clinic/Center | 150 Washington Blvd, Stamford, CT 06902-8904 | 2020-07-29 |
| 1285263129 | Ptsma, Inc. | Clinic/Center | 100 Division St Unit 70, Ansonia, CT 06401-2147 | 2020-04-03 |
| 1306472576 | Ptsma, Inc. | Clinic/Center | 285 Nicoll St, New Haven, CT 06511-2625 | 2020-03-19 |
| 1619522547 | Ptsma, Inc. | Clinic/Center | 3 A Candlewood Hill Rd, Higganum, CT 06441 | 2019-08-07 |
| 1033773759 | Ptsma, Inc. | Clinic/Center | 37 S Broad St Unit 12, Pawcatuck, CT 06379-7909 | 2019-04-29 |
| 1417467879 | Onecalltherapy,llc | Clinic/Center | 193 N Parker Hill Rd, Killingworth, CT 06419-1124 | 2017-10-11 |
| 1568985166 | Napa Center, Inc. | Clinic/Center | 97 South St Ste 112, West Hartford, CT 06110-1960 | 2017-07-25 |
| 1477993749 | Stamford Rehabilitation Associates | Clinic/Center | 110 Prospect St Ste 3, Stamford, CT 06901-1203 | 2013-07-01 |
| 1235184201 | Sundance Rehabilitation Agency Inc | Clinic/Center | 628 Congdon Street West, Middletown, CT 06457-1967 | 2006-05-24 |
| Find all providers with the same taxonomy | ||||
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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.