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NPI Code Detail

MEDICARE: PEAK PHYSICAL THERAPY, LLC

MEDICARE: PEAK 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1437957446
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEAK PHYSICAL THERAPY, LLC
Provider Business Mailing Address
First Line : 1707 W 20TH ST
Second Line :
City : LAUREL
State : MS
Zip : 39440-1802
Country : US
Telephone Number : 412-901-8413
Fax Number :
Provider Business Practice Location Address
First Line : 1707 W 20TH ST
Second Line :
City : LAUREL
State : MS
Zip : 39440-1802
Country : US
Telephone Number : 601-428-2004
Fax Number : 601-428-8833
Authorized Official
Title or Position : PT/OWNER
Name : BRADY CHURCH
Credential : DPT
Telephone Number : 412-901-8413
Provider Enumeration Date : 03/05/2025
Last Update Date : 06/04/2025

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Directions to “PEAK PHYSICAL THERAPY, LLC ” Practice Location

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