NPIMap

Peak Form LLC

A Medicare group practice based in Boulder, CO: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1052212495), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052212495The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Physical/Occupational Therapy Group in Private Practice
Enrolled in
CO
Enrollments
1
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20120831000550 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1982718003

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 16

Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (4).

Sources for this page