PEAK FORM PHYSICAL THERAPY
NPI 1831863117
Physical Medicine & Rehabilitation in Broomfield, CO
NPI Status: Active since August 02, 2021
Contact Information
1260 E 1ST AVE
BROOMFIELD, CO
ZIP 80020
Phone: (303) 655-9005
- Organization
- Physical Medicine & Rehabilitation
- CLIA Number: 06D2234262
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 08-29-2027
About PEAK FORM PHYSICAL THERAPY
This page provides the complete NPI Profile along with additional information for Peak Form Physical Therapy, a provider established in Broomfield, Colorado operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1831863117 assigned on August 2021. The practitioner's primary taxonomy code is 208100000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Peak Form Physical Therapy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Peak Form Physical Therapy. The authorized official of this NPI record is Ms. Patricia Oconnor (Front Desk Coordinator)
- NPI
- 1831863117
- Provider Legal Name
- PEAK FORM LLC
- Other Organization Name
- PEAK FORM PHYSICAL THERAPY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1260 E 1ST AVE BROOMFIELD, CO 80020
- Location Phone
- (303) 655-9005
- Mailing Address
- 1093 E BRIDGE ST BRIGHTON, CO 80601
- Mailing Phone
- (303) 655-9005
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-02-2021
- Last Update Date
- 08-04-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 224Y00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Clinical Exercise Physiologist | |
| 2 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 3 | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | |
| 4 | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | |
| 5 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2234262
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- August 30, 2025
- Certificate Expiration Date
- August 29, 2027
- Laboratory Director
- JEANETTE HRUBES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Peak Form Physical Therapy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1831863117, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831863117, enumerated as an "organization" on August 02, 2021.
The provider is located at 1260 E 1ST AVE BROOMFIELD, CO 80020 and the phone number is (303) 655-9005.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
