What is Jack Peak's NPI number?

Jack Peak's National Provider Identifier (NPI) is 1043594013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Peak's specialty?

Jack Peak is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Jack Peak located?

Jack Peak's practice location on file with NPPES is 11665 Laurel Ave, Loma Linda, CA 92354-6721.

What is Jack Peak's phone number?

The practice phone number listed in the NPPES registry for Jack Peak is (909) 838-2679.

Is Jack Peak's NPI active?

Yes — Jack Peak's NPI (1043594013) is active in the NPPES registry as of the last update on 2011-10-07.

IndividualActive

Jack Peak

NPI 1043594013 · Physical Therapist · Loma Linda, CA

Jack Peak is a Physical Therapist provider in Loma Linda, CA (NPI 1043594013).

Provider details

NPI number: 1043594013
Entity type: Individual
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Sex: Male
Sole proprietor: No
License: 5824 (CA)

Specialties & taxonomies

Physical TherapistPrimary225100000XLicense 5824 (CA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

11665 Laurel Ave

Loma Linda, CA 92354-6721

Phone: (909) 838-2679

Street-level locationGet directions

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Mailing address