Healthcare Provider Details

I. General information

NPI: 1497636153
Provider Name (Legal Business Name): LITTLE PEAKS PEDIATRIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 FLORENCE AVE
FIRESTONE CO
80520-5068
US

IV. Provider business mailing address

PO BOX 138
FIRESTONE CO
80520-0138
US

V. Phone/Fax

Practice location:
  • Phone: 720-276-1051
  • Fax:
Mailing address:
  • Phone: 720-276-1051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KATE JESSEN
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 720-276-1051