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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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1841853132
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEAK PHYSICAL THERAPY, LLC
Provider Business Mailing Address
First Line : 175 NATE WHIPPLE HWY STE 201
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-1423
Country : US
Telephone Number : 401-999-7325
Fax Number : 401-400-5876
Provider Business Practice Location Address
First Line : 175 NATE WHIPPLE HWY STE 201
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-1423
Country : US
Telephone Number : 401-999-7325
Fax Number : 401-400-5876
Authorized Official
Title or Position : DOCTOR OF PHYSICAL THERAPY
Name : DR. BRIANNA LANDRY
Credential : DPT
Telephone Number : 401-999-7325
Provider Enumeration Date : 04/22/2019
Last Update Date : 01/28/2022

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Directions to “PEAK PHYSICAL THERAPY, LLC ” Practice Location

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