NPIMap

Organization Active NPI

Peak Physical Therapy of Durango, LLC

Doing business as Peak Physical Therapy, LLC

  • Physical Therapist
  • Durango, CO
National Provider Identifier
1871847723
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEAK PHYSICAL THERAPY OF DURANGO, LLC
Doing business as
Peak Physical Therapy, LLC
Practice address
1600 Florida Rd Ste 1
Durango, CO 81301-6836
Phone
(970) 259-9366
Fax
(970) 259-9367
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Dr. Stephanie L RobertsNPI 1134309610
Title
Owner
Phone
(970) 259-9366

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1600 Florida Rd Ste 1
Durango, CO 81301-6836

Mailing address

1600 Florida Rd Ste 1
Durango, CO 81301-6836
Phone (970) 259-9366

Other names 1

  • Peak Physical Therapy, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130226000566 CO Part B Supplier - Clinic/Group Practice 2062664998 Receives reassigned benefits from 7 practitioners
Practice locations: Durango, CO

National Provider Directory

National Provider Directory

Locations

1600 Florida Rd
Ste A
Durango, CO 81301
Phone (970) 259-9366

1600 Florida Rd
Ste 1
Durango, CO 81301
Phone (970) 259-9366

1600 Florida Rd
Durango, CO 81301
Phone (970) 385-6969

Practitioners & affiliated clinicians

Practitioners 12

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": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1871847723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FLORIDA RD STE 1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016836",
            "telephone_number": "970-259-9366",
            "fax_number": "970-259-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FLORIDA RD STE 1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016836",
            "telephone_number": "970-259-9366",
            "fax_number": "970-259-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY OF DURANGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-259-9366",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Physical Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peak Physical Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.