Provider Demographics
NPI:1609383579
Name:PEAK PHYSIOTHERAPY AND PERFORMANCE LLC
Entity Type:Organization
Organization Name:PEAK PHYSIOTHERAPY AND PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNAK
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:614-467-0285
Mailing Address - Street 1:471 CHERRY HILL CT
Mailing Address - Street 2:
Mailing Address - City:LITHOPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:43136-9714
Mailing Address - Country:US
Mailing Address - Phone:216-402-9294
Mailing Address - Fax:
Practice Address - Street 1:5209 EBRIGHT RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9721
Practice Address - Country:US
Practice Address - Phone:614-467-0285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-02
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016405261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy