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General NPI Number Information
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NPI Number | 1700812229
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Entity Type | Organization
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Legal Business Name | PEAK PERFORMANCE PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 2020 W COLORADO AVE STE C-305
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3882
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Country | US
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Telephone | 719-249-1600
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Fax | 719-249-1773
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Provider Business Mailing Address
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Address Line | 2020 W COLORADO AVE STE C-305
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3882
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Country | US
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Telephone | 719-249-1600
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Fax | 719-249-1773
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ROBYN BARKER
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Credential |
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Telephone | 800-530-3065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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