MEDICARE: PEAK PHYSICAL THERAPY PA

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	11-02391	KS

General Provider Information

NPI Number	:	1841594637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK PHYSICAL THERAPY PA

Provider Business Mailing Address
First Line	:	5614 SW 29TH ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-2443
Country	:	US
Telephone Number	:	785-215-6151
Fax Number	:	785-215-6157

Provider Business Practice Location Address
First Line	:	5614 SW 29TH ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-2443
Country	:	US
Telephone Number	:	785-215-6151
Fax Number	:	785-215-6157

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	KIM HOOBLER
Credential	:	DPT
Telephone Number	:	785-207-5440

Provider Enumeration Date	:	01/07/2011
Last Update Date	:	01/07/2011

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Directions to “PEAK PHYSICAL THERAPY PA ” Practice Location

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