Provider Demographics
NPI:1770300519
Name:PEAK REHABILITATION OF DENVER LLC
Entity type:Organization
Organization Name:PEAK REHABILITATION OF DENVER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DE MARCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-346-0024
Mailing Address - Street 1:16522 KEYSTONE BLVD STE N
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3302
Mailing Address - Country:US
Mailing Address - Phone:303-840-7325
Mailing Address - Fax:303-840-7326
Practice Address - Street 1:1830 N FRANKLIN ST STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1128
Practice Address - Country:US
Practice Address - Phone:303-840-7325
Practice Address - Fax:303-840-7326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Group - Multi-Specialty