Healthcare Provider Details

I. General information

NPI: 1912698952
Provider Name (Legal Business Name): SARAH CULBERT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH OVERBERG DPT

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
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

2009 GAFFER PT
COLORADO SPRINGS CO
80910-6449
US

V. Phone/Fax

Practice location:
  • Phone: 719-527-0848
  • Fax: 719-527-0838
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0019099
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: