Healthcare Provider Details
I. General information
NPI: 1346325685
Provider Name (Legal Business Name): FALCON PHYSICAL THERAPY AND FITNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1803 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS CO
80906-4027
US
IV. Provider business mailing address
PO BOX 632674
CINCINNATI OH
45263-2674
US
V. Phone/Fax
- Phone: 719-527-0848
- Fax: 719-471-4415
- Phone: 702-818-5000
- Fax: 702-818-5001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
SCHULTZ
Title or Position: OWNER/RD
Credential: DPT
Phone: 719-495-3133