Healthcare Provider Details

I. General information

NPI: 1881323038
Provider Name (Legal Business Name): NEW TERRAIN PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2022
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5376 TOMAH DR STE 105
COLORADO SPRINGS CO
80918-6967
US

IV. Provider business mailing address

3822 WINDSONG CT
COLORADO SPRINGS CO
80917-3512
US

V. Phone/Fax

Practice location:
  • Phone: 970-978-6918
  • Fax:
Mailing address:
  • Phone: 719-454-8687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR SISNEROS
Title or Position: CEO
Credential: PT
Phone: 719-454-8687