The Peak Physical Medicine

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

34408 Issued in CO

Legal business name

THE PEAK PHYSICAL MEDICINE

Practice address

2955 Professional PL Ste 201
Colorado Springs, CO 80904-8140

Phone

(719) 591-5545

NPI assigned

Jul 9, 2015

Organization subpart

No

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

Authorized official

Name

Timothy Vaughn Sandell, M.D.

Title

Owner

Phone

(719) 591-5545

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1831572759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 PROFESSIONAL PL STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 PROFESSIONAL PL STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048140",
            "telephone_number": "719-591-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEAK PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "SANDELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "VAUGHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-591-5545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "34408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679522254",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01344084",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.