Peak Pediatric Therapy, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

PEAK PEDIATRIC THERAPY, LLC

Practice address

9185 Dome Rock PL
Colorado Springs, CO 80924-2916

Phone

(609) 501-0389

NPI assigned

Aug 16, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Lynn Moore, MA, CCC-SLP

Title

Speech-Language Pathologist

Phone

(609) 501-0389

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1760908222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9185 DOME ROCK PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809242916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9185 DOME ROCK PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809242916",
            "telephone_number": "609-501-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "609-501-0389",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Medical Services
• Peak Neuro Monitoring LLC (OverWatch Neuro)
• Peak Neurology Corp PC
• Peak Neurology Corp PC
• Peak Nutrition LLC
• Peak Pelvic Health
• Peak Performance LTD (Smith Chiropractic)
• Peak Performance Physical Therapy Inc. (Peak Performance Physical Therapy, PC dba Westside PT)
• Peak Performance PT/MD,LLC
• Peak Play Therapy, LLC

• Hearing and Speech Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Hearing and Speech Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.