Pikes Peak Physical Medicine, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PIKES PEAK PHYSICAL MEDICINE, P.C.

Practice address

2233 Academy PL
Suite 200
Colorado Springs, CO 80909-1696

Phone

(719) 591-0011

Fax

(719) 591-5540

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey P Jenks, M.D.

Title

President

Phone

(719) 591-0011

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katharine Julia Leppard, M.D.

  • Specialist
  • Colorado Springs, CO
  • NPI 1811940067
  NPD (past)
• Lisa G Pearson, DNAP, CRNA, NSPMC

  • Interventional Pain Medicine Physician
  • Canon City, CO
  • NPI 1790749604
  NPD (past)
• Jamie M. Pollock, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Pueblo, CO
  • NPI 1356470876
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225129299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ACADEMY PL",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091696",
            "telephone_number": "719-591-0011",
            "fax_number": "719-591-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 ACADEMY PL",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091696",
            "telephone_number": "719-591-0011",
            "fax_number": "719-591-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK PHYSICAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JENKS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-591-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04006086",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pikes Peak Orthopaedic Surgery and Sports Medicine, PLLC
• Pikes Peak Os PLLC
• Pikes Peak Pain Management, LP
• Pikes Peak Pathways, Pikes Peak Boces
• Pikes Peak Peer Support LLC
• Pikes Peak Professional Counselors, LLC
• Pikes Peak Psychotherapy, Inc.
• Pikes Peak Radiation Oncology P.C.
• Pikes Peak Reflux and Weight Loss Surgery PLLC
• Pikes Peak Seniorcare, Inc.

• All providers in Colorado Springs, CO
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.