Healthcare Provider Details

I. General information

NPI: 1134180821
Provider Name (Legal Business Name): SHERYL ANN NOTARO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6071 E WOODMEN RD STE 220
COLORADO SPRINGS CO
80923-2611
US

IV. Provider business mailing address

PO BOX 912430
DENVER CO
80291-2430
US

V. Phone/Fax

Practice location:
  • Phone: 719-776-3000
  • Fax: 719-571-8889
Mailing address:
  • Phone: 888-269-7001
  • Fax: 303-764-6640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0003209
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number5742024
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number4519
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: