Healthcare Provider Details

I. General information

NPI: 1083200620
Provider Name (Legal Business Name): PEAK PHYSICAL THERAPY AT HIGHLANDS RANCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E HAMPDEN AVE UNIT C-3
DENVER CO
80231-4861
US

IV. Provider business mailing address

7400 E HAMPDEN AVE UNIT C-3
DENVER CO
80231-4861
US

V. Phone/Fax

Practice location:
  • Phone: 303-221-1474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: CHANDLER HILDEBRANDT
Title or Position: PRACTICE MANAGER
Credential:
Phone: 303-346-0024