Healthcare Provider Details

I. General information

NPI: 1558446864
Provider Name (Legal Business Name): FALCON PHYSICAL THERAPY AND FITNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7622 MCLAUGHLIN RD
PEYTON CO
80831-4710
US

IV. Provider business mailing address

PO BOX 632674
CINCINNATI OH
45263-2674
US

V. Phone/Fax

Practice location:
  • Phone: 719-495-3133
  • Fax: 719-495-8685
Mailing address:
  • Phone: 702-818-5000
  • Fax: 702-818-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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