# PEAK PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peak PT - Prosper
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497108021
- **Authorized official:** KEVIN JOHANNESON (VP OF REVENUE CYCLE)
- **Authorized official phone:** (423) 238-3220

## Contact information

- **Practice address:** 1000 N PRESTON RD STE 50, PROSPER, TX 75078-8889
- **Practice address phone:** (972) 347-9756
- **Practice address fax:** (972) 347-9761
- **Mailing address:** 6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
- **Mailing address phone:** (423) 238-7217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 07/19/2016
- **Last updated:** 07/02/2019