Peakview Sport and Spine, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5738 Issued in CO

Legal business name

PEAKVIEW SPORT AND SPINE, INC

Practice address

1793 Lake Woodmoor Dr
Monument, CO 80132

Phone

(719) 434-2781

Fax

(719) 375-3691

NPI assigned

Jan 26, 2017

Last updated

Jan 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy J Nelson, DCNPI 1457338964

Title

Doctor/Owner

Phone

(719) 434-2781

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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.

• Timothy John Nelson, DC

  • Chiropractor
  • Monument, CO
  • NPI 1457338964
  Medicare reassignment Authorized official
• Victoria F Wirtz, D.C.

  • Chiropractor
  • Bonney Lake, WA
  • NPI 1629350327
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1811434053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 LAKE WOODMOOR DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132",
            "telephone_number": "719-434-2781",
            "fax_number": "719-375-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1793 LAKE WOODMOOR DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132",
            "telephone_number": "719-434-2781",
            "fax_number": "719-375-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAKVIEW SPORT AND SPINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "719-434-2781",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra K Palko, OTD, OTR/L
• Palmer Ridge Dental and Orthodontics
• Ashley Anne Palomera
• Panorama Orthopedics & Spine Center, PC (Orthopedic Rehabilitation Associates)
• Igor Pavlenko, CNA
• Courtney Danae Pennington, HAD
• Penrad Imaging LLC
• Natalie Perez
• Selina Perron
• Jasmine Peterson

• Chiropractor in Monument, CO
• Providers in Monument, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.