Healthcare Provider Details

I. General information

NPI: 1518941491
Provider Name (Legal Business Name): GLORIA RENEE WINTERS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/03/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 QUAIL LAKE LOOP PT WORKS PC CHEYENNE MTN CLINIC
COLORADO SPRINGS CO
80906-4651
US

IV. Provider business mailing address

1330 QUAIL LAKE LOOP PT WORKS PC CHEYENNE MTN CLINIC
COLORADO SPRINGS CO
80906-4651
US

V. Phone/Fax

Practice location:
  • Phone: 719-579-0230
  • Fax: 719-579-0277
Mailing address:
  • Phone: 719-579-0230
  • Fax: 719-579-0277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number7677
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number7677
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: