PEAK FORM PHYSICAL THERAPY
NPI 1982718003
Physical Medicine & Rehabilitation in Boulder, CO

Active since August 18, 2006CLIA 06D2135358 · Waiver
695 S BROADWAY ST STE A, BOULDER, CO 80305(303) 402-9283(303) 494-1251 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2020, Jul 23, 2020 (2 updates tracked since 2020).

About Peak Form Physical Therapy NPPES

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

PEAK FORM PHYSICAL THERAPY (NPI 1982718003) is a healthcare organization registered as a physical medicine & rehabilitation in Boulder, Colorado and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Jeanette Hrubes, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1982718003
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NamePEAK FORM LLC
Location Address695 S BROADWAY ST STE ABoulder, CO 80305-5925
Mailing Address1093 E Bridge StBrighton, CO 80601-2252 · (303) 655-9005 · Fax (303) 655-0063
Fax(303) 494-1251
Organization SubpartNo
Authorized OfficialJeanette HrubesClinic Director · (720) 939-1058
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 31, 20202 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
NPI 1982718003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

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 ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X
695 S BROADWAY ST STE A, Boulder, CO 80305

Other Names 2

Doing Business AsPeak Form Physical Therapy
Doing Business AsPeak Form Medical Clinic

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

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 06D2135358

Peak Form Medical Clinic · Boulder, CO
Active · expires Aug 20, 2027
CLIA Number06D2135358
Laboratory TypeOccupation Medicine
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorJeanette Hrubes
Laboratory Phone(303) 402-9283
Laboratory LocationPeak Form Medical Clinic695 South Broadway Suite A, Boulder, CO 80305
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
695 S BROADWAY ST STE A
BOULDER, CO 80305
Massage Therapist
695 S BROADWAY ST STE A
BOULDER, CO 80305

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 1982718003. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Peak Form Physical Therapy and Peak Form Medical Clinic.

Where is Peak Form LLC located?

Peak Form LLC is located at 695 S Broadway St Ste A, Boulder, CO 80305. The listed phone number is (303) 402-9283.

What is Peak Form LLC's specialty?

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

Does Peak Form LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2135358) is associated with this NPI, valid through August 20, 2027. 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 July 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.