Provider Demographics
NPI:1568410892
Name:PEAK FUNCTION, P.C.
Entity Type:Organization
Organization Name:PEAK FUNCTION, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:IOLANTHE
Authorized Official - Middle Name:
Authorized Official - Last Name:CULJAK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-222-0986
Mailing Address - Street 1:PO BOX 3353
Mailing Address - Street 2:
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-3353
Mailing Address - Country:US
Mailing Address - Phone:970-222-0986
Mailing Address - Fax:970-586-8696
Practice Address - Street 1:561 CHAPIN LN
Practice Address - Street 2:#1
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-9010
Practice Address - Country:US
Practice Address - Phone:970-222-0986
Practice Address - Fax:970-586-8696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5329225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO803689Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER