DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PEAK PERFORMANCE SPORTS AND PHYSICAL THERAPY, LLC

MEDICARE: PEAK PERFORMANCE SPORTS AND PHYSICAL THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1194714063
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEAK PERFORMANCE SPORTS AND PHYSICAL THERAPY, LLC
Provider Business Mailing Address
First Line : 625 KENMOOR AVE SE STE 100
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-2395
Country : US
Telephone Number : 616-356-5000
Fax Number : 616-356-5001
Provider Business Practice Location Address
First Line : 2009 NEUSE BLVD
Second Line :
City : NEW BERN
State : NC
Zip : 28560-3470
Country : US
Telephone Number : 252-636-9800
Fax Number :
Authorized Official
Title or Position : CEO
Name : RICHARD LEAVER
Credential :
Telephone Number : 616-356-5000
Provider Enumeration Date : 10/13/2005
Last Update Date : 06/24/2025

Similar Medicare Providers

1104898212 — DAVID M PEARCE MPT
Practice Location Address:
2009 NEUSE BLVD
NEW BERN, NC
28560-3470
Practice Phone: 252-636-9800
Practice Fax: 252-636-9855
1730152356 — DEBRA L BROWN OTR/L
Practice Location Address:
2009 NEUSE BLVD
NEW BERN, NC
28560-3470
Practice Phone: 252-636-9800
Practice Fax: 252-636-9855
1114991957 — MARC D RIEG MPT
Practice Location Address:
2009 NEUSE BLVD
NEW BERN, NC
28560-3470
Practice Phone: 252-636-9800
Practice Fax: 252-636-9855
1083677306 — THOMAS O KIRSCH MPT
Practice Location Address:
2009 NEUSE BLVD
NEW BERN, NC
28560-3470
Practice Phone: 252-636-9800
Practice Fax: 252-636-9855
1003821182 — WALGREEN CO
Practice Location Address:
2001 NEUSE BLVD
NEW BERN, NC
28560-3470
Practice Phone: 252-672-8365
Practice Fax:
1265521223 — ANTHONY VINCENT RUBEIRA PT
Practice Location Address:
2009 NEUSE BLVD
NEW BERN, NC
28560-3470
Practice Phone: 252-636-9800
Practice Fax: 252-636-1945

Directions to “PEAK PERFORMANCE SPORTS AND PHYSICAL THERAPY, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.