Peak Form LLC
NPI 1982718003 · Physical Medicine & Rehabilitation Physician · Boulder, CO
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peak Form LLC is a Physical Medicine & Rehabilitation Physician organization in Boulder, CO (NPI 1982718003).
Provider details
- NPI number
- 1982718003
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeanette Hrubes, Clinic Director(720) 939-1058
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Exercise Physiologist224Y00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Assistant225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Peak Form Medical Clinic
- Doing business as
- Peak Form Physical Therapy
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2020-07-31
- Certified
- 2020-07-31
Frequently asked questions
- What is Peak Form LLC's NPI number?
- Peak Form LLC's National Provider Identifier (NPI) is 1982718003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peak Form LLC?
- Peak Form LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Peak Form LLC located?
- Peak Form LLC's practice location on file with NPPES is 695 S Broadway St Ste a, Boulder, CO 80305-5925.
- What is Peak Form LLC's phone number?
- The practice phone number listed in the NPPES registry for Peak Form LLC is (303) 402-9283.
- Does Peak Form LLC accept Medicare?
- Peak Form LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peak Form LLC?
- The authorized official listed on Peak Form LLC's NPPES record is Jeanette Hrubes, Clinic Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peak Form LLC's NPI active?
- Yes — Peak Form LLC's NPI (1982718003) is active in the NPPES registry as of the last update on 2020-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.