Healthcare Provider Details

I. General information

NPI: 1427913953
Provider Name (Legal Business Name): PEAK VITALITY NC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E SUMTER ST
SHELBY NC
28150-4451
US

IV. Provider business mailing address

115 E SUMTER ST
SHELBY NC
28150-4451
US

V. Phone/Fax

Practice location:
  • Phone: 704-692-7924
  • Fax:
Mailing address:
  • Phone: 704-692-7924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD H BERKOWITZ
Title or Position: OWNER/ MANAGER
Credential: DC
Phone: 704-692-7924