Healthcare Provider Details

I. General information

NPI: 1073385217
Provider Name (Legal Business Name): PEAK PHYSIOTHERAPY AND SPORTS PERFORMANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10620 MALTESE PT
PEYTON CO
80831-4752
US

IV. Provider business mailing address

PO BOX 363
PEYTON CO
80831-0363
US

V. Phone/Fax

Practice location:
  • Phone: 719-401-1166
  • Fax:
Mailing address:
  • Phone: 719-401-1166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL FURLIN
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, DPT, OCS, CISSN
Phone: 719-401-1166