Healthcare Provider Details

I. General information

NPI: 1376964825
Provider Name (Legal Business Name): ELIOT THOMASMA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2013
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6005 DELMONICO DR STE 130
COLORADO SPRINGS CO
80919-2265
US

IV. Provider business mailing address

6005 DELMONICO DR STE 130
COLORADO SPRINGS CO
80919-2265
US

V. Phone/Fax

Practice location:
  • Phone: 719-204-9293
  • Fax: 719-212-5247
Mailing address:
  • Phone: 719-204-9293
  • Fax: 719-212-5247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0021377
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: