Healthcare Provider Details
I. General information
NPI: 1811557234
Provider Name (Legal Business Name): ERIC KNIGHT DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/18/2019
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
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
1150 TIMBER VALLEY RD
COLORADO SPRINGS CO
80919-2831
US
V. Phone/Fax
- Phone: 719-776-3000
- Fax: 719-571-8889
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PTL0016450 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: