Provider Demographics
NPI:1962675371
Name:PEAK PHYSICAL THERAPY AT HIGHLANDS RANCH
Entity Type:Organization
Organization Name:PEAK PHYSICAL THERAPY AT HIGHLANDS RANCH
Other - Org Name:PEAK PHYSICAL THERAPY AT HIGHLANDS RANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:BIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-840-7325
Mailing Address - Street 1:200 W COUNTY LINE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2342
Mailing Address - Country:US
Mailing Address - Phone:303-840-7324
Mailing Address - Fax:303-346-0117
Practice Address - Street 1:200 W COUNTY LINE RD STE 130
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2342
Practice Address - Country:US
Practice Address - Phone:303-346-0024
Practice Address - Fax:303-840-7326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO81292251X0800X
261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty