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Peak Form LLC

Physical Medicine & Rehabilitation Physician in Boulder, CO · enumerated 2006 · authorized official Jeanette Hrubes, Clinic Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982718003

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Registry record

Entity type Organization (Type 2)
Legal business name Peak Form LLC
Other name <Unavail>
Practice address 695 S Broadway St Ste A, Boulder, CO, 80305
Fax (303) 494-1251
Enumeration date Aug 18, 2006
Last updated in NPPES Jul 31, 2020

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary
224Y00000X Clinical Exercise Physiologist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LX0106X Occupational Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jeanette Hrubes
Title Clinic Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Peak Form LLC?
NPPES lists Jeanette Hrubes (Clinic Director) as the authorized official for this organization.
What is the NPI number for Peak Form LLC?
The NPI for Peak Form LLC is 1982718003, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-31.