Healthcare Provider Details

I. General information

NPI: 1225412893
Provider Name (Legal Business Name): FALCON PHYSICAL THERAPY AND FITNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 SOUTH ELIZABETH STREET UNIT C
ELIZABETH CO
80107-7575
US

IV. Provider business mailing address

PO BOX 632674
CINCINNATI OH
45263-2674
US

V. Phone/Fax

Practice location:
  • Phone: 303-646-1445
  • Fax: 303-646-1962
Mailing address:
  • Phone: 702-818-5000
  • Fax: 702-818-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. DAVID SCHULTZ
Title or Position: OWNER/RD
Credential: DPT
Phone: 719-495-3133