Healthcare Provider Details
I. General information
NPI: 1811753007
Provider Name (Legal Business Name): PEAK CITY PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2024
Last Update Date: 08/01/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1516 BARN DOOR DR
APEX NC
27502-7063
US
IV. Provider business mailing address
7984 HUMIE OLIVE RD
APEX NC
27502-9604
US
V. Phone/Fax
- Phone: 919-924-3153
- Fax:
- Phone: 919-924-3153
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
JENNIFER
LYNN
HARLOFF
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT
Phone: 919-924-3153