Provider Demographics
NPI:1528194610
Name:PEAK CONDITION, LLC
Entity type:Organization
Organization Name:PEAK CONDITION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:702-876-9737
Mailing Address - Street 1:6040 S RAINBOW BLVD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-2541
Mailing Address - Country:US
Mailing Address - Phone:702-876-9737
Mailing Address - Fax:702-876-3741
Practice Address - Street 1:6040 S RAINBOW BLVD
Practice Address - Street 2:SUITE B-1
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2541
Practice Address - Country:US
Practice Address - Phone:702-876-9737
Practice Address - Fax:702-876-3741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV100141Medicare ID - Type Unspecified