Healthcare Provider Details

I. General information

NPI: 1770300519
Provider Name (Legal Business Name): PEAK REHABILITATION OF DENVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E 9TH AVE SUITE 010
DENVER CO
80220-3907
US

IV. Provider business mailing address

16522 KEYSTONE BLVD STE N
PARKER CO
80134-3302
US

V. Phone/Fax

Practice location:
  • Phone: 303-253-7373
  • Fax: 303-840-7326
Mailing address:
  • Phone: 303-840-7325
  • Fax: 303-840-7326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS DE MARCO
Title or Position: ADMINISTRATOR
Credential:
Phone: 303-346-0024