PEAK FORM LLC
NPI 1851113385
Physical Medicine & Rehabilitation in Greeley, CO

NPI Status: Active since October 28, 2024

Contact Information

8225 W 20TH ST
GREELEY, CO
ZIP 80634
Phone: (720) 716-4518
Fax: (833) 971-1890

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  • Organization
  • Physical Medicine & Rehabilitation
  • CLIA Number: 06D2313396
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 10-29-2026

About PEAK FORM LLC

This page provides the complete NPI Profile along with additional information for Peak Form Llc, a provider established in Greeley, Colorado operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1851113385 assigned on October 2024. The practitioner's primary taxonomy code is 208100000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Peak Form Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jeanette Hrubes (Ceo)

NPI
1851113385
Provider Name
PEAK FORM LLC
Entity Type
Organization
Location Address
8225 W 20TH ST GREELEY, CO 80634
Location Phone
(720) 716-4518
Location Fax
(833) 971-1890
Mailing Address
1260 E 1ST AVE UNIT A BROOMFIELD, CO 80020
Mailing Phone
(720) 716-4518
Mailing Fax
(833) 971-1890
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2024
Last Update Date
10-28-2024
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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)
1224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Clinical Exercise Physiologist

 
2225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
3225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapy Assistant

 
4225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Massage Therapist

 
5225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
6363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
7363LX0106XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Occupational Health

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEANETTE HRUBES

Authorized Official Title
CEO
Authorized Official Phone
(720) 716-4518

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
06D2313396
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
October 30, 2024
Certificate Expiration Date
October 29, 2026
Laboratory Director
JEANETTE HRUBES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peak Form Llc 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 1851113385, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 1 → 2 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 0 + 1 + 2 + 1 + 6 + 3 + 1 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1851113385.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
8225 W 20TH ST
GREELEY, CO 80634
Internal Medicine (Gastroenterology)
8225 W 20TH ST
GREELEY, CO 80634
Internal Medicine (Gastroenterology)
8225 W 20TH ST
GREELEY, CO 80634
Physician Assistant (Medical)
8225 W 20TH ST
GREELEY, CO 80634
Physical Therapy Assistant
8225 W 20TH ST
GREELEY, CO 80634

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851113385, enumerated as an "organization" on October 28, 2024.

The provider is located at 8225 W 20TH ST GREELEY, CO 80634 and the phone number is (720) 716-4518.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.