NPIMap

Organization Active NPI

Peak Performance PT/MD,LLC

  • General Practice Physician
  • Colorado Springs, CO
National Provider Identifier
1699164152
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
51214 Issued in CO
Legal business name
PEAK PERFORMANCE PT/MD,LLC
Practice address
540 Mesa Vista CT
Colorado Springs, CO 80904-2541
Phone
(719) 237-8241
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Larry Berarducci, M.D.
Title
Owner
Phone
(314) 651-2749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 51214 CO Primary

Addresses

Primary practice location

540 Mesa Vista CT
Colorado Springs, CO 80904-2541

Mailing address

540 Mesa Vista CT
Colorado Springs, CO 80904-2541
Phone (719) 237-8241

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1699164152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MESA VISTA CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042541",
            "telephone_number": "719-237-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MESA VISTA CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042541",
            "telephone_number": "719-237-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE PT/MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "BERARDUCCI",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-651-2749",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CO",
            "license": "51214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.