MEDICARE: FALCON PHYSICAL THERAPY AND FITNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578163267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALCON PHYSICAL THERAPY AND FITNESS

Provider Business Mailing Address
First Line	:	PO BOX 632674
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2674
Country	:	US
Telephone Number	:	702-818-5000
Fax Number	:	702-818-5001

Provider Business Practice Location Address
First Line	:	3586 HARTSEL DR STE B
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-2112
Country	:	US
Telephone Number	:	719-471-4430
Fax Number	:	719-471-4415

Authorized Official
Title or Position	:	OWNER/RD
Name	:	DR. DAVID SCHULTZ
Credential	:	DPT
Telephone Number	:	719-495-3133

Provider Enumeration Date	:	10/30/2020
Last Update Date	:	01/26/2026

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Directions to “FALCON PHYSICAL THERAPY AND FITNESS ” Practice Location

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