Provider Demographics
NPI:1184898769
Name:PEAK PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:PEAK PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:R
Authorized Official - Last Name:EDELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:617-504-3358
Mailing Address - Street 1:99 LONGWATER CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1642
Mailing Address - Country:US
Mailing Address - Phone:617-504-3358
Mailing Address - Fax:
Practice Address - Street 1:99 LONGWATER CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1642
Practice Address - Country:US
Practice Address - Phone:617-504-3358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10385261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy