Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacksonville Peak Performance Sports & Physical Therapy, LLC

Organization Specialist · NPI 1164482402

Jacksonville Peak Performance Sports & Physical Therapy, LLC is a Specialist in Jacksonville, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

122 Branchwood Shopping Ctr
Jacksonville, NC 28546-5800
Phone: (910) 938-7555
Fax: (910) 938-7544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1164482402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Laurent — Authorized Official · (616) 356-5011
NPI enumeratedMarch 23, 2006
Last updated in NPPESApril 30, 2018
Mailing address607 Dewey Ave Nw, Suite 300, Grand Rapids, MI 49504-7335

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