Three Peaks Medical LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3322 Issued in CO

Legal business name

THREE PEAKS MEDICAL LLC

Practice address

4145 Nevis St
Boulder, CO 80301-6818

Phone

(303) 926-9646

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Ann Balthazor, PTNPI 1821241480

Title

Director

Phone

(303) 928-9646

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tracy Ann Balthazor, P.T.

  • Physical Therapist
  • Boulder, CO
  • NPI 1821241480
  NPD (past) Authorized official

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1356588693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 NEVIS ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016818",
            "telephone_number": "303-926-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 NEVIS ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016818",
            "telephone_number": "303-926-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE PEAKS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "BALTHAZOR",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-928-9646",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor James Thompson, M.D.
• Gwendaline Danielle Thoreaux, M.A., L.P.C., C.A.C.
• Catherine Thornber, LPCC
• Steven Michael Thornhill, PHARMD
• Jeffrey J Thramann, MD
• Thrive Counseling LLC
• Thrive Psychotherapeutic Services LLC
• Thrive Psychotherapeutic Services LLC
• Thrive Psychotherapeutic Services LLC
• Thriveworks Clinical - Colorado PC

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.