OrganizationActive
Peak Physical Therapy Sports and Performance Center, LLC
NPI 1184057143 · Physical Therapy Clinic/Center · South Burlington, VT
Provider details
- NPI number
- 1184057143
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Dodge, President(802) 658-0949
- License
- 040.0002127 (VT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
21 Gregory Dr
South Burlington, VT 05403-6080
Phone: (802) 658-0949
Street-level locationGet directions
Mailing address
21 Gregory Dr
South Burlington, VT 05403-6080
Other names (DBA / former)
- Doing business as
- Poulin Performance and Rehabilitation Center
Registry dates
- Enumerated
- 2013-08-14
- Last updated
- 2013-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.