Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peak Form LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1831863117

Peak Form LLC is a Physical Medicine & Rehabilitation Physician in Broomfield, Colorado. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1260 E 1st Ave
Broomfield, CO 80020-3792
Phone: (303) 655-9005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Clinical Exercise Physiologist Taxonomy 224Y00000X
Physical Therapist Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Massage Therapist Taxonomy 225700000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1831863117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Oconnor — Front Desk Coordinator · (303) 655-9005
Other names Peak Form Medical Clinic; Peak Form Physical Therapy; Peak Form Physical Therapy
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address1093 E Bridge St, Brighton, CO 80601-2252

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