Provider Demographics
NPI:1760503585
Name:PEAKVIEW PHYSICAL THERAPY
Entity Type:Organization
Organization Name:PEAKVIEW PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUPKA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:720-272-4951
Mailing Address - Street 1:10256 FALCON ST
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-3508
Mailing Address - Country:US
Mailing Address - Phone:720-272-4951
Mailing Address - Fax:
Practice Address - Street 1:10256 FALCON ST
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-3508
Practice Address - Country:US
Practice Address - Phone:720-272-4951
Practice Address - Fax:303-833-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6864225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty