PEAK PHYSICAL THERAPY LLC. – Rehabilitation Clinic/Center, NPI 1730486804

PEAK PHYSICAL THERAPY LLC. is a healthcare provider. based in Waterbury, Connecticut. specializing in Rehabilitation Clinic/Center. The organization holds a License No. 004663 (CT). The NPI Number for PEAK PHYSICAL THERAPY LLC. is 1730486804

Main info

Organization
Name
PEAK PHYSICAL THERAPY LLC.
NPI
1730486804
Phone
(203) 757-0100
Address
550 CHASE AVE
Authorized Official
MR. KEITH SARGENT HAVEMEYER OWNER MS, PT, OCS, FAAOMPT
Enumeration Date
24 February 2011
Last Update Date
13 May 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for PEAK PHYSICAL THERAPY LLC.

  • 550 CHASE AVE

    WATERBURY, CT 067041904

    Phone: (203) 757-0100

    Fax: (203) 757-0102

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (350 days ago).

Enrollment records

1

Earliest due date

2025-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20110419000187OPhysical/Occupational Therapy Group In Private PracticeCT2025-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06704)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for PEAK PHYSICAL THERAPY LLC.?
The registry entry for PEAK PHYSICAL THERAPY LLC. shows NPI 1730486804.
Quick check: is PEAK PHYSICAL THERAPY LLC. active?
Public NPPES data shows PEAK PHYSICAL THERAPY LLC. with an active NPI status right now.
What type of care does PEAK PHYSICAL THERAPY LLC. provide?
PEAK PHYSICAL THERAPY LLC.'s profile centers on Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PEAK PHYSICAL THERAPY LLC.?
PEAK PHYSICAL THERAPY LLC. is associated with Waterbury, Connecticut in the same public data insurers reference.
Can I export PEAK PHYSICAL THERAPY LLC.'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

Easter Seals Waterbury

Rehabilitation Clinic/Center
Easter Seals, 22, Tompkins Street, Bunker Hill, Waterbury, New Haven County, Connecticut, 06708, United States
NPI: 1497863658

ACCESS REHAB CENTERS, LLC

Rehabilitation Clinic/Center
Easter Seals, 22, Tompkins Street, Bunker Hill, Waterbury, New Haven County, Connecticut, 06708, United States
NPI: 1033293691

Hand and Rehabilitation Serivces

Rehabilitation Clinic/Center
60, Westwood Avenue, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States
NPI: 1518034156