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NPI Code Detail

MEDICARE: NEW TERRAIN PHYSICAL THERAPY, PLLC

MEDICARE: NEW TERRAIN PHYSICAL THERAPY, PLLC
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
1261QP2000XPhysical Therapy Clinic/Center
22251X0800XOrthopedic Physical Therapist

General Provider Information

NPI Number : 1881323038
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW TERRAIN PHYSICAL THERAPY, PLLC
Provider Business Mailing Address
First Line : 3822 WINDSONG CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-3512
Country : US
Telephone Number : 719-454-8687
Fax Number :
Provider Business Practice Location Address
First Line : 5376 TOMAH DR STE 105
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-6967
Country : US
Telephone Number : 970-978-6918
Fax Number :
Authorized Official
Title or Position : CEO
Name : TAYLOR SISNEROS
Credential : PT
Telephone Number : 719-454-8687
Provider Enumeration Date : 06/05/2022
Last Update Date : 04/09/2026

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Directions to “NEW TERRAIN PHYSICAL THERAPY, PLLC ” Practice Location

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