Peak Performance Chiropractic And Sports Rehabilitation Center LLC
Chiropractor, Rehabilitation in Delta, UT. Organization (NPI-2).
NPI number1194191817
StatusActive
Last updated in NPPESMay 6, 2016
Details
- NPI
- 1194191817
- Entity type
- Organization (NPI-2)
- Legal business name
- Peak Performance Chiropractic And Sports Rehabilitation Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2015
- Last updated
- May 6, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | 94077161202 | UT | Yes |
Practice location
60 S 300 EDelta, UT 84624-5551
Phone 435-864-2000 · Fax 435-864-2002
Mailing address
230 S 400 WDelta, UT 84624-9233
Phone 435-864-2000 · Fax 435-864-2002
Authorized official
Jordan Karl Mecham
Owner
4354061414
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