NPIMap

Organization Active NPI

Peak Rehabilitation of Denver LLC

  • Physical Therapist
  • Parker, CO
National Provider Identifier
1386688166
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK REHABILITATION OF DENVER LLC
Practice address
16522 Keystone Blvd
Suite N
Parker, CO 80134-3302
Phone
(303) 840-7325
Fax
(303) 840-7326
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Mr. Michael Thomas Detter
Title
President
Phone
(303) 840-7325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

16522 Keystone Blvd
Suite N
Parker, CO 80134-3302

Mailing address

16522 Keystone Blvd
Suite N
Parker, CO 80134-3302
Phone (303) 840-7325

Other names 1

  • Peak Physical Therapy and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050629000826 CO Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3375537152 3 other NPIs on this enrollment
Practice locations: Aurora, CO; Denver, CO; Parker, CO; Westminster, CO

Outpatient physical therapy / speech pathology certification: CCN 066638

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PEAK PHYSICAL THERAPY AND WELLNESS
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Oct 17, 2006
Last certification
Nov 15, 2023
Ownership / control type
Proprietary
Facility address
16522 Keystone Blvd Suite N
Parker, CO 80134

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1550 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 369-1077

1885 W 120th Ave
Unit 800
Westminster, CO 80234

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1386688166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16522 KEYSTONE BLVD",
            "address_2": "SUITE N",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343302",
            "telephone_number": "303-840-7325",
            "fax_number": "303-840-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16522 KEYSTONE BLVD",
            "address_2": "SUITE N",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343302",
            "telephone_number": "303-840-7325",
            "fax_number": "303-840-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK REHABILITATION OF DENVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "DETTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-840-7325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.