Provider Demographics
NPI:1881641264
Name:PEAK REHABILITATION, INC
Entity Type:Organization
Organization Name:PEAK REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANI
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-367-1898
Mailing Address - Street 1:1660 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:GA
Mailing Address - Zip Code:30549-2666
Mailing Address - Country:US
Mailing Address - Phone:706-367-1898
Mailing Address - Fax:706-367-1899
Practice Address - Street 1:1660 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:GA
Practice Address - Zip Code:30549
Practice Address - Country:US
Practice Address - Phone:706-367-1898
Practice Address - Fax:706-367-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA344757OtherWELLCARE OF GA
GA000548941HMedicaid
GAGRP6725OtherMEDICARE PTAN
GA65BBCQXOtherMEDICARE PROVIDER #
GA1006337Medicaid
GA3951793OtherAETNA
GA000548941HMedicaid
GA65BBCQXOtherMEDICARE PROVIDER #
GAGRP6725OtherMEDICARE PTAN