Healthcare Provider Details

I. General information

NPI: 1295521995
Provider Name (Legal Business Name): PEAK MOTION PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 DEPOT ST # 2A
MANCHESTER CENTER VT
05255-8605
US

IV. Provider business mailing address

PO BOX 804
MANCHESTER VT
05254-0804
US

V. Phone/Fax

Practice location:
  • Phone: 802-319-9283
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
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: ELIZABETH MOULTON
Title or Position: BUSINESS OWNER
Credential: DPT
Phone: 207-256-7128