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Contact Information

PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE
LBN BDM ASSOCIATES LLC
3301 BERRYWOOD DRIVE
SUITE 204
COLUMBIA, MO65201
 Phone: 573-449-6082
 Fax: 573-449-0401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Athletic Trainer

2255A2300X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE

NPI Number 1326163478
LBN Legal business name BDM ASSOCIATES LLC
DBA Doing business as PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE
Authorized official BRENDA REEDER - (DIRECTOR OF BILLING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/20/2007
Last updated 06/09/2011 - About 8 years ago
Identifiers
MO Medicaid 834765000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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