Provider Demographics
NPI:1578231387
Name:HEALTHY PEERS, LLC
Entity Type:Organization
Organization Name:HEALTHY PEERS, LLC
Other - Org Name:CONCIERGE PHYSIOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:CARTER PEER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:352-598-0921
Mailing Address - Street 1:4403 WATERCOLOR WAY
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-1172
Mailing Address - Country:US
Mailing Address - Phone:352-598-0921
Mailing Address - Fax:
Practice Address - Street 1:4403 WATERCOLOR WAY
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-1172
Practice Address - Country:US
Practice Address - Phone:352-598-0921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-06
Last Update Date:2022-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty