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 1982718003

Peak Form LLC is a Physical Medicine & Rehabilitation Physician in Boulder, Colorado. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
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

695 S Broadway St Ste A
Boulder, CO 80305-5925
Phone: (303) 402-9283
Fax: (303) 494-1251
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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
Physician Assistant Taxonomy 363A00000X
Occupational Health Nurse Practitioner Taxonomy 363LX0106X

Record details

NPI number1982718003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanette Hrubes — Clinic Director · (720) 939-1058
Other names Peak Form Medical Clinic; Peak Form Physical Therapy
NPI enumeratedAugust 18, 2006
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020
Mailing address1093 E Bridge St, Brighton, CO 80601-2252

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