Healthcare Provider Details

I. General information

NPI: 1659028421
Provider Name (Legal Business Name): JORDAN C ANGLIN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JORDAN C STAMEY PT, DPT

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 AUSTIN BLUFFS PKWY STE 105
COLORADO SPRINGS CO
80918-5734
US

IV. Provider business mailing address

PO BOX 5718
KALISPELL MT
59903-5718
US

V. Phone/Fax

Practice location:
  • Phone: 719-912-2110
  • Fax: 719-400-6413
Mailing address:
  • Phone: 406-756-0134
  • Fax: 406-300-1612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0018233
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: