| Peak Performance Orthopedic & Sports Physical Therapy, P.c. | |
|
169 N 200 E, Columbia City, IN 46725-8895 | |
| (260) 244-5133 | |
| (260) 244-5134 |
| Full Name | Peak Performance Orthopedic & Sports Physical Therapy, P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 169 N 200 E, Columbia City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205900313 | NPI | - | NPPES |
| 200832220A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 225100000X (Indiana) | Primary |
| Provider Name | Sean Thomas White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083722268 PECOS PAC ID: 4486672276 Enrollment ID: I20051114000238 |
| Provider Name | Jodi L Bodiker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184821209 PECOS PAC ID: 6406930627 Enrollment ID: I20080321000117 |
| Provider Name | Heather Marie White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790003382 PECOS PAC ID: 2769762525 Enrollment ID: I20161213002180 |
| Provider Name | Daniel Rico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700635034 PECOS PAC ID: 8527509793 Enrollment ID: I20240916003269 |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Performance Orthopedic & Sports Physical Therapy, P.c. 169 N 200 E, Columbia City, IN 46725-8895 Ph: (260) 244-5133 | Peak Performance Orthopedic & Sports Physical Therapy, P.c. 169 N 200 E, Columbia City, IN 46725-8895 Ph: (260) 244-5133 |
Mrs. Victoria Jean Vinet, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 474 W Plaza Dr, Columbia City, IN 46725 Phone: 260-244-8009 | |
Dr. Sean Thomas White, DPT, OCS, CMDT, COMT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 169 N 200 E, Columbia City, IN 46725 Phone: 260-244-5133 Fax: 260-255-5134 | |
Kristin Lynn Collins, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 169 N 200 E, Columbia City, IN 46725 Phone: 260-244-5133 Fax: 260-244-5134 | |
Andrew James Harry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 662 Country Side Dr, Suite 105, Columbia City, IN 46725 Phone: 260-244-5133 | |
Mrs. Maria Jolanta Swiatkowska, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1260 East State Road 205, Parkview Whitley Hospital, Columbia City, IN 46725 Phone: 260-248-9530 | |
Kyle Matter, Physical Therapist Medicare: Medicare Enrolled Practice Location: 474 W Plaza Dr, Columbia City, IN 46725 Phone: 260-244-8009 |