Provider Demographics
NPI:1225760002
Name:PEAK 3 SPORTS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:PEAK 3 SPORTS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOKEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:864-704-9203
Mailing Address - Street 1:51 SETTING SUN LN
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-7889
Mailing Address - Country:US
Mailing Address - Phone:864-704-9203
Mailing Address - Fax:
Practice Address - Street 1:117 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3229
Practice Address - Country:US
Practice Address - Phone:864-704-9203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty