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General NPI Number Information
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NPI Number | 1205900313
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Entity Type | Organization
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Legal Business Name | PEAK PERFORMANCE ORTHOPEDIC & SPORTS PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 2240 N POINTE DR
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City | WARSAW
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State | IN
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Zip | 46582-9042
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Country | US
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Telephone | 574-267-3500
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Fax | 574-267-3518
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Provider Business Mailing Address
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Address Line | 169 N 200 E
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City | COLUMBIA CITY
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State | IN
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Zip | 46725-8895
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Country | US
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Telephone | 260-244-5133
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Fax | 260-244-5134
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEAN THOMAS WHITE
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Credential |
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Telephone | 260-244-5133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 225100000X
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License Number State | IN
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