Organization Active NPI

Peak Pelvic Therapy, Inc.

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1245864404
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PELVIC THERAPY, INC.
Practice address
1318 S College Ave Unit 5
Fort Collins, CO 80524-4100
Phone
(970) 541-9050
Fax
(866) 488-6550
NPI assigned
Feb 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Shawna Lynn Anderson, MPT
Title
Owner
Phone
(970) 541-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1318 S College Ave Unit 5
Fort Collins, CO 80524-4100

Mailing address

1318 S College Ave Unit 5
Fort Collins, CO 80524-4100
Phone (970) 541-9050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@peakpelvictherapy.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1049 Robertson St
Fort Collins, CO 80524
Phone (970) 493-6667

1318 S College Ave
Unit 5
Fort Collins, CO 80524
Phone (970) 460-6770

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1245864404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 S COLLEGE AVE UNIT 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244100",
            "telephone_number": "970-541-9050",
            "fax_number": "866-488-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S COLLEGE AVE UNIT 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244100",
            "telephone_number": "970-541-9050",
            "fax_number": "866-488-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PELVIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-541-9050",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@peakpelvictherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure dedicated email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1318 S College Ave Unit 5",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805244100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.