Provider Demographics
NPI:1619589744
Name:PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS TRAINING, LLC
Entity Type:Organization
Organization Name:PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS TRAINING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-870-8242
Mailing Address - Street 1:3750 DACORO LN STE 130
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-2508
Mailing Address - Country:US
Mailing Address - Phone:303-870-8242
Mailing Address - Fax:
Practice Address - Street 1:1302 S CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4045
Practice Address - Country:US
Practice Address - Phone:303-880-8095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEAK PERFORMANCE PHYSICAL THERAPY & SPORTS TRAINING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty