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

Active since October 28, 2024CLIA 06D2313396 · Waiver
8225 W 20TH ST, GREELEY, CO 80634(720) 716-4518(833) 971-1890 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peak Form Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEAK FORM LLC (NPI 1851113385) is a healthcare organization registered as a physical medicine & rehabilitation in Greeley, Colorado and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Jeanette Hrubes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851113385
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NamePEAK FORM LLC
Location Address8225 W 20TH STGreeley, CO 80634-3037
Mailing Address1260 E 1st Ave Unit ABroomfield, CO 80020-3792 · (720) 716-4518 · Fax (888) 971-1890
Fax(833) 971-1890
Organization SubpartNo
Authorized OfficialJeanette HrubesCeo · (720) 716-4518
Enumeration DateOctober 28, 2024
NPPES CertifiedOctober 27, 2024
✔ NPI 1851113385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
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.
Also ListedClinical Exercise PhysiologistTaxonomy 224Y00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedMassage TherapistTaxonomy 225700000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X
8225 W 20TH ST, Greeley, CO 80634

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peak Form Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Peak Form LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice15
Occupational Therapist in Private Practice1

Clinicians, nearest first (16)

Physical Therapist in Private Practice
NPI 1104164953
1230 W ASH ST UNIT A
Windsor, CO 80550
(970) 561-7111
✔ Accepts Medicare7.6 mi
Physical Therapist in Private Practice
NPI 1821809641
525 3RD AVE STE 132
Longmont, CO 80501
(360) 383-7430
23 mi
Physical Therapist in Private Practice
NPI 1275659419
1610 DRY CREEK DR
Longmont, CO 80503
(720) 494-4750
✔ Accepts Medicare25 mi
Physical Therapist in Private Practice
NPI 1972092005
1093 E BRIDGE ST
Brighton, CO 80601
(303) 655-9005
✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1336998897
1093 E BRIDGE ST
Brighton, CO 80601
(303) 655-9005
29 mi
Physical Therapist in Private Practice
NPI 1477092849
1093 E BRIDGE ST
Brighton, CO 80601
(303) 655-9005
29 mi
Occupational Therapist in Private Practice
NPI 1346888658
1093 E BRIDGE ST
Brighton, CO 80601
(308) 386-6672
29 mi
Physical Therapist in Private Practice
NPI 1548832918
1093 E BRIDGE ST
Brighton, CO 80601
(303) 655-9005
✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1104277466
1093 E BRIDGE ST
Brighton, CO 80601
(303) 655-9005
✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1154701928
1093 E BRIDGE ST
Brighton, CO 80601
(303) 655-9005
✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1295575181
1093 E BRIDGE ST
Brighton, CO 80601
(303) 655-9005
✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1063175776
4440 ARAPAHOE AVE STE 101
Boulder, CO 80303
(303) 444-2529
✔ Accepts Medicare35 mi
Physical Therapist in Private Practice
NPI 1578347282
1260 E 1ST AVE
Broomfield, CO 80020
(303) 655-9005
36 mi
Physical Therapist in Private Practice
NPI 1386053221
805 S BROADWAY ST SUITE 201
Boulder, CO 80305
(303) 402-9283
✔ Accepts Medicare37 mi
Physical Therapist in Private Practice
NPI 1376034702
695 S BROADWAY ST
Boulder, CO 80305
(303) 402-9283
✔ Accepts Medicare37 mi
Physical Therapist in Private Practice
NPI 1689236713
3355 S WADSWORTH BLVD STE A-2
Lakewood, CO 80227
(303) 993-4438
54 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2313396

Peak Form Medical Center · Greeley, CO
Active · expires Oct 29, 2026
CLIA Number06D2313396
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorJeanette Hrubes
Laboratory Phone(720) 716-4518
Laboratory LocationPeak Form Medical Center8225 West 20th St, Greeley, CO 80634
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peak Form LLC's NPI number?

The NPI number for Peak Form LLC is 1851113385. It was assigned to this organization in the NPPES registry on October 28, 2024.

Where is Peak Form LLC located?

Peak Form LLC is located at 8225 W 20th St, Greeley, CO 80634. The listed phone number is (720) 716-4518.

What is Peak Form LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Peak Form LLC enrolled in Medicare?

Yes. Peak Form LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peak Form LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Peak Form LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (15) and Occupational Therapist in Private Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peak Form LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2313396) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peak Form LLC was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.