Organization Active NPI

Peak Performance Physical Therapy & Sports Training, LLC

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1619589744
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS TRAINING, LLC
Practice address
1302 S Chambers Rd
Aurora, CO 80017-4045
Phone
(303) 880-8095
NPI assigned
Aug 19, 2020
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS TRAINING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Scott Douglas BarlowNPI 1922241322
Title
Owner/Clinic Director
Phone
(303) 870-8242

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
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1302 S Chambers Rd
Aurora, CO 80017-4045

Mailing address

3750 Dacoro LN Ste 130
Castle Rock, CO 80109-2508
Phone (303) 870-8242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170404001533 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810122561 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aurora, CO; Castle Rock, CO

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
Tax ID family
Peak Perf Phyl Thpy Sports2 organizations share this tax ID, including this one
Part of
Peak Perf Phyl Thpy Sports

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3911 Ambrosia St
Ste 102
Castle Rock, CO 80109
Phone (303) 870-8242

Practitioners & affiliated clinicians

Practitioners 3

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": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1619589744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 DACORO LN STE 130",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801092508",
            "telephone_number": "303-870-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174045",
            "telephone_number": "303-880-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS TRAINING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS TRAINING, LLC",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "303-870-8242"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.