PEAK FORM LLC (NPI# 1982718003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982718003 |
| Entity Type | Organization |
| Organization Name | PEAK FORM LLC |
| Other Organization Name | PEAK FORM PHYSICAL THERAPY |
| Practice Address |
695 S Broadway St Ste A Boulder CO 80305-5925 |
| Mailing Address |
1093 E Bridge St Brighton CO 80601-2252 |
| Practice Telephone | 3034029283 |
| Practice Fax Number | 3034941251 |
| Mailing Telephone | 3036559005 |
| Mailing Fax Number | 3036550063 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | JEANETTE HRUBES (CLINIC DIRECTOR) |
| Authorized Official Telephone | 7209391058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Peak Form Medical Clinic | Doing Business As Name - Organization |
| Peak Form Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811018914 | Peak Form LLC | Clinical Exercise Physiologist | 1093 E Bridge St, Brighton, CO 80601-2252 | 2007-04-03 |
| Street Address |
695 S BROADWAY ST STE A |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053826446 | Debbie Hayes | Massage Therapist | 695 S Broadway St Ste A, Boulder, CO 80305-5925 | 2017-12-06 |
| 1003321571 | Sarah Farley | Massage Therapist | 695 S Broadway St Ste A, Boulder, CO 80305-5925 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467694638 | David R Coons | Physical Medicine & Rehabilitation | 1100 Balsam Ave Fl 4, Boulder, CO 80304-3404 | 2009-04-02 |
| 1801077359 | Maureen Rimar | Physical Medicine & Rehabilitation | 842 Laurel Ave, Boulder, CO 80303-2842 | 2007-11-26 |
| 1013061407 | Colorado Healthquest LLC | Physical Medicine & Rehabilitation | 4865 Riverbend Road, Suite 100, Boulder, CO 80301 | 2007-01-22 |
| 1528123593 | Daniel J Gerber | Physical Medicine & Rehabilitation | 6658 Gunpark Dr, Suite 102, Boulder, CO 80301-3385 | 2006-12-27 |
| 1528157526 | Aspen Leaf Sports Medicine and Rehabilitation PC | Physical Medicine & Rehabilitation | 4861 Earle Cir, Boulder, CO 80301-4122 | 2006-10-11 |
| 1427091206 | Spine West A Professional LLC | Physical Medicine & Rehabilitation | 5387 Manhattan Circle, Suite 200, Boulder, CO 80303-4283 | 2006-06-13 |
| 1053805192 | Britt Garcia | Physical Medicine & Rehabilitation | 350 Ponca Pl, Boulder, CO 80303-3828 | 2018-06-21 |
| 1164820916 | Osteopathic Pain and Rehabilitation Medicine, A Professional LLC. | Physical Medicine & Rehabilitation | 3000 Center Green Dr, #130, Boulder, CO 80301-2364 | 2014-12-10 |
| 1053751032 | Derek Garn Rodeback | Physical Medicine & Rehabilitation | 350 Broadway St Ste 202, Boulder, CO 80305 | 2013-07-05 |
| 1326379629 | Colorado Center for Spine Medicine LLC | Physical Medicine & Rehabilitation | 1155 Alpine Ave, Ste. 280, Boulder, CO 80304-3495 | 2010-01-26 |
| Find all providers in BOULDER | ||||
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| 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.