Healthcare Provider Details

I. General information

NPI: 1174353304
Provider Name (Legal Business Name): KARLI NICOLE SASSONE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5660 BARNES RD STE 116
COLORADO SPRINGS CO
80917-1374
US

IV. Provider business mailing address

38363 SWEET MAGNOLIA DR
PRAIRIEVILLE LA
70769-4258
US

V. Phone/Fax

Practice location:
  • Phone: 719-257-4533
  • Fax:
Mailing address:
  • Phone: 225-803-7871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP054963T
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11818
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: