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

Peak Form LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1851113385

Peak Form LLC is a Physical Medicine & Rehabilitation Physician in Greeley, Colorado. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
8
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

8225 W 20th St
Greeley, CO 80634-3037
Phone: (720) 716-4518
Fax: (833) 971-1890
Show map & directions

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
Physician Assistant Taxonomy 363A00000X
Occupational Health Nurse Practitioner Taxonomy 363LX0106X

Record details

NPI number1851113385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanette Hrubes — Ceo · (720) 716-4518
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 27, 2024
Mailing address1260 E 1st Ave Unit A, Broomfield, CO 80020-3792

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