# PEAK PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peak Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437957446
- **Authorized official:** BRADY CHURCH DPT (PT/OWNER)
- **Authorized official phone:** (412) 901-8413

## Contact information

- **Practice address:** 1707 W 20TH ST, LAUREL, MS 39440-1802
- **Practice address phone:** (601) 428-2004
- **Practice address fax:** (601) 428-8833
- **Mailing address:** 1707 W 20TH ST, LAUREL, MS 39440-1802
- **Mailing address phone:** (601) 428-2004
- **Mailing address fax:** (601) 428-8833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2025
- **Last updated:** 06/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200023862 | — | MS |