PEAK BALANCE FAMILY WELLNESS (NPI# 1265979488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265979488 |
| Entity Type | Organization |
| Organization Name | PEAK BALANCE FAMILY WELLNESS |
| Practice Address |
3100 N Academy Blvd Suite 103 Colorado Springs CO 80917-5321 |
| Practice Telephone | 7193449270 |
| Practice Fax Number | 7193586173 |
| Mailing Telephone | 7193449270 |
| Mailing Fax Number | 7193586173 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | MELISSA HARLOW (OWNER) |
| Authorized Official Telephone | 7193449270 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 6477 | CO | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Peak Balance Family Wellness, PLLC | 3100 N Academy Blvd, Ste 103, Colorado Springs, CO 80917 |
| Street Address |
3100 N ACADEMY BLVD SUITE 103 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275517872 | Fred James Gremillion | Podiatrist | 3100 N Academy Blvd, Suite #115, Colorado Springs, CO 80917-5321 | 2005-12-06 |
| 1629519723 | Wasatch Payroll LLC | Clinic/Center | 3100 N Academy Blvd, 107, Colorado Springs, CO 80917-5321 | 2017-03-09 |
| 1659755338 | Colorado Springs Oral and Facial Surgery | Dentist | 3100 N Academy Blvd, #213, Colorado Springs, CO 80917-5321 | 2015-07-13 |
| 1710398573 | Stacie Lynn Kipp | Nurse Practitioner | 3100 N Academy Blvd, Colorado Springs, CO 80917-5321 | 2014-05-14 |
| 1316378797 | Jerrico Grimard | Nurse Practitioner | 3100 N Academy Blvd, Suite 211, Colorado Springs, CO 80917-5321 | 2013-12-10 |
| 1629317979 | John E. Augspurger | Dentist | 3100 N Academy Blvd, Suite 203, Colorado Springs, CO 80917-5321 | 2013-02-06 |
| 1053655613 | Maria Smith | Nurse Practitioner | 3100 N Academy Blvd, Colorado Springs, CO 80917-5321 | 2012-11-20 |
| 1528261682 | Dale L Alto | Dentist | 3100 N Academy Blvd, Suite 213, Colorado Springs, CO 80917-5321 | 2007-06-07 |
| 1447384532 | Affiliates In Oral & Maxillofacial Surgery,p.c. | Dentist | 3100 N Academy Blvd, Suite 213, Colorado Springs, CO 80917-5321 | 2007-03-14 |
| 1841339819 | Ronald J Charity Dmd PC | Dentist | 3100 N Academy Blvd, Suite 103, Colorado Springs, CO 80917-5321 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
| 1972122232 | Chc Ncs, LLC | Clinic/Center | 11681 Voyager Pkwy Ste 110, Colorado Springs, CO 80921-3862 | 2020-04-15 |
| 1053880120 | Westside Wellness Pllc | Clinic/Center | 2020 W Colorado Ave Ste 201, Colorado Springs, CO 80904-3863 | 2018-11-19 |
| 1255831665 | Colorado Department of Corrections | Clinic/Center | 1250 Academy Park Loop, Colorado Springs, CO 80910-3708 | 2018-02-13 |
| 1205355732 | Healthworks Med Group of Colorado P C | Clinic/Center | 9970 Federal Dr, Colorado Springs, CO 80921-3616 | 2017-09-15 |
| 1841688058 | Thrive Wellness Centre | Clinic/Center | 3540 Austin Bluffs Pkwy, Ste 7 & 8, Colorado Springs, CO 80918-5731 | 2014-12-23 |
| 1609114560 | Sensible Chiropractic Pllc | Clinic/Center | 1880 Dublin Blvd Ste E, Colorado Springs, CO 80918-1224 | 2013-01-27 |
| 1194031575 | Rocky Mountain Brain Injury Services, LLC | Clinic/Center | 1420 E Fountain Blvd, Colorado Springs, CO 80910-3502 | 2010-08-24 |
| 1528220258 | Peter M. Bianco Do LLC | Clinic/Center | 5333 N Union Blvd, Ste 200, Colorado Springs, CO 80918-2051 | 2008-06-25 |
| 1740493329 | Tlc Vc, LLC | Clinic/Center | 6430 N Academy Blvd, Colorado Springs, CO 80918-8303 | 2007-05-08 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on PEAK BALANCE FAMILY WELLNESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.