Healthcare Provider Details

I. General information

NPI: 1043788185
Provider Name (Legal Business Name): ALEXANDRA S NACHTMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 E FILLMORE ST
COLORADO SPRINGS CO
80907-6402
US

IV. Provider business mailing address

3510 GALLEY RD STE 102
COLORADO SPRINGS CO
80909-4353
US

V. Phone/Fax

Practice location:
  • Phone: 719-895-1722
  • Fax: 719-895-1723
Mailing address:
  • Phone: 719-920-0819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0018306
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT027268
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: