Healthcare Provider Details

I. General information

NPI: 1215896600
Provider Name (Legal Business Name): PEAK THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W GOVERNMENT ST STE 104
BRANDON MS
39042-3196
US

IV. Provider business mailing address

1301 W GOVERNMENT ST STE 104
BRANDON MS
39042-3196
US

V. Phone/Fax

Practice location:
  • Phone: 601-591-7535
  • Fax: 601-591-7540
Mailing address:
  • Phone: 601-591-7535
  • Fax: 601-591-7540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: GREGORY SHOEMAKER
Title or Position: OWNER
Credential:
Phone: 601-832-1107