Peak Performance Therapy Services P C

LBN: Peak Performance Therapy Services P C
Peak Performance Therapy Services P C is an health care organization with primary practice located at 3456 E 17Th St Suite 130, Ammon ID 83406-6757. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Peak Performance Therapy Services P C can be contacted via phone (208) 523-0030, or through Horman, P. Briggs via phone (208) 523-0030.

Contact Information

Primary practice address
3456 E 17Th St Suite 130 Ammon ID 83406-6757
Phone: (208) 523-0030
Fax: (208) 523-3828
Website:
Map and Directions
Authorized official contact:
Name: Horman, P. Briggs PHYSICAL THERAPIST
Phone: (208) 523-0030

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1003898974
LBN Legal business name Peak Performance Therapy Services P C
DBA Doing business as
Authorized official Horman, P. Briggs PHYSICAL THERAPIST
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Dec 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003898974 NPPES
Idaho Other 000010152186 BLUE SHIELD PROVIDER NUMB
Idaho MEDICAID 807304100 BLUE SHIELD PROVIDER NUMB
Idaho Other 8M467 BLUE SHIELD PROVIDER NUMB

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