1053441634 NPI number — PEAK PHYSICAL THERAPY INC

Table of content: (NPI 1053441634)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053441634 NPI number — PEAK PHYSICAL THERAPY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEAK PHYSICAL THERAPY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053441634
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
427 W MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STERLING
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80751-3033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-522-7743
Provider Business Mailing Address Fax Number:
970-522-8835

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
190 TALISMAN DR
Provider Second Line Business Practice Location Address:
UNIT D4
Provider Business Practice Location Address City Name:
PAGOSA SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81147-9171
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-731-1888
Provider Business Practice Location Address Fax Number:
970-731-1889
Provider Enumeration Date:
03/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCDONALD
Authorized Official First Name:
MARK
Authorized Official Middle Name:
I
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
970-522-7743

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PE647283 . This is a "BLUE CROSS" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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