Provider Demographics
NPI:1811753007
Name:PEAK CITY PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:PEAK CITY PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:919-924-3153
Mailing Address - Street 1:1516 BARN DOOR DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-7063
Mailing Address - Country:US
Mailing Address - Phone:919-924-3153
Mailing Address - Fax:
Practice Address - Street 1:1516 BARN DOOR DR
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-7063
Practice Address - Country:US
Practice Address - Phone:919-924-3153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty