MEDICARE: PEAK CONDITION, 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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1528194610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK CONDITION, LLC

Provider Business Mailing Address
First Line	:	6040 S RAINBOW BLVD
Second Line	:	SUITE B-1
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2541
Country	:	US
Telephone Number	:	702-876-9737
Fax Number	:	702-876-3741

Provider Business Practice Location Address
First Line	:	6040 S RAINBOW BLVD
Second Line	:	SUITE B-1
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2541
Country	:	US
Telephone Number	:	702-876-9737
Fax Number	:	702-876-3741

Authorized Official
Title or Position	:	OWNER
Name	:	STEVEN L EDWARDS
Credential	:	PT
Telephone Number	:	702-876-9737

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	01/28/2025

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