Provider Demographics
NPI:1174166953
Name:PEAK PHYSICAL THERAPY & PERFORMANCE
Entity type:Organization
Organization Name:PEAK PHYSICAL THERAPY & PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:SANPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:443-370-6995
Mailing Address - Street 1:210 UNION SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1366
Mailing Address - Country:US
Mailing Address - Phone:215-862-1648
Mailing Address - Fax:215-862-1625
Practice Address - Street 1:210 UNION SQUARE DR
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1366
Practice Address - Country:US
Practice Address - Phone:215-862-1648
Practice Address - Fax:215-862-1625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty