Organization Active NPI

Peek-a-Boo Pediatric Therapy LLC

  • Early Intervention Provider Agency
  • Denver, CO
National Provider Identifier
1063833259
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
OT0003580 Issued in CO
Legal business name
PEEK-A-BOO PEDIATRIC THERAPY LLC
Practice address
172 S Lowell Blvd
Denver, CO 80219-1934
Phone
(303) 885-9848
Fax
(720) 302-0459
NPI assigned
Dec 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Lynn Shimkus, MA, OTR/LNPI 1134312341
Title
Owner/Occupational Therapist
Phone
(303) 885-9848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X OT0003580 CO Primary

Addresses

Primary practice location

172 S Lowell Blvd
Denver, CO 80219-1934

Mailing address

172 S Lowell Blvd
Denver, CO 80219-1934
Phone (303) 885-9848

Other identifiers 1

IdentifierTypeStateIssuer
03133729MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1063833259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 S LOWELL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802191934",
            "telephone_number": "303-885-9848",
            "fax_number": "720-302-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 S LOWELL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802191934",
            "telephone_number": "303-885-9848",
            "fax_number": "720-302-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEEK-A-BOO PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-15",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "SHIMKUS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "303-885-9848",
        "authorized_official_credential": "MA, OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CO",
            "license": "OT0003580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03133729",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.