Healthcare Provider Details

I. General information

NPI: 1720393002
Provider Name (Legal Business Name): NICOLE FLOUNDERS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2010
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9051 SSG CHRIS FALKEL DR UNIT 150
HIGHLANDS RANCH CO
80129-3191
US

IV. Provider business mailing address

9051 SSG CHRIS FALKEL DR UNIT 150
HIGHLANDS RANCH CO
80129-3191
US

V. Phone/Fax

Practice location:
  • Phone: 720-516-0145
  • Fax: 720-516-0222
Mailing address:
  • Phone: 720-516-0145
  • Fax: 720-516-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.017971
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0014674
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: