Healthcare Provider Details

I. General information

NPI: 1275467847
Provider Name (Legal Business Name): PEAK PERFORMANCE REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3502 CLOVERDALE RD
FLORENCE AL
35633-1302
US

IV. Provider business mailing address

2310 MALL RD
FLORENCE AL
35630-2891
US

V. Phone/Fax

Practice location:
  • Phone: 256-764-4242
  • Fax:
Mailing address:
  • Phone: 256-764-4242
  • Fax: 256-764-4343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: TAMMY LANDERS
Title or Position: OFFICE ADMIN
Credential:
Phone: 256-764-4242