Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PEAK FITNESS PHYSICAL THERAPY, PS
Active
Organization
PEAK FITNESS PHYSICAL THERAPY, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G VAN PEVENAGE RPT (PRESIDENT)
(509) 725-7325
Entity
Organization
Contact information
Practice address
506 MORGAN STREET, DAVENPORT, WA 99122-0752
(509) 725-7325
(509) 725-5325
Mailing address
PO BOX 752, DAVENPORT, WA 99122-0752
(509) 725-7325
(509) 725-5325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006484
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205378
L & I
WA
05
—
7125768
—
WA
01
—
P00335661
PALMETTO
WA
Enumeration date
03/15/2007
Last updated
10/25/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up