Healthcare Provider Details

I. General information

NPI: 1972027001
Provider Name (Legal Business Name): RICARDO ARMANDO DELGADO JR. PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 12/22/2020
Certification Date: 12/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S 21ST ST UNIT 130
COLORADO SPRINGS CO
80904-3763
US

IV. Provider business mailing address

2375 TELSTAR DR STE 115
COLORADO SPRINGS CO
80920-1029
US

V. Phone/Fax

Practice location:
  • Phone: 719-634-1110
  • Fax: 719-634-1112
Mailing address:
  • Phone: 719-282-2320
  • Fax: 719-282-2330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0016896
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1309412
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: