MEDICARE: PEAK WELLNESS PT 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1992595516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK WELLNESS PT LLC

Provider Business Mailing Address
First Line	:	2708 PALACE GREEN RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37924-1154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2708 PALACE GREEN RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37924-1154
Country	:	US
Telephone Number	:	423-200-6970
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	BAILEE FIELDER
Credential	:
Telephone Number	:	423-200-6970

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	05/07/2025

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