Healthcare Provider Details

I. General information

NPI: 1972481216
Provider Name (Legal Business Name): PEAK ENDURANCE PHYSICAL THERAPY, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 N BUTLER ST STE 401
MADISON WI
53703-4237
US

IV. Provider business mailing address

50 S MEADOW LN
MADISON WI
53705-5002
US

V. Phone/Fax

Practice location:
  • Phone: 608-218-4215
  • Fax:
Mailing address:
  • Phone: 785-218-1648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER HORNBAKER
Title or Position: OWNER
Credential: DPT
Phone: 785-218-1648