Provider Demographics
NPI:1124267380
Name:EXCEL PHYSICAL THERAPY
Entity type:Organization
Organization Name:EXCEL PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLENDER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:719-533-0021
Mailing Address - Street 1:402 W BIJOU ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-1309
Mailing Address - Country:US
Mailing Address - Phone:719-634-5518
Mailing Address - Fax:719-634-1455
Practice Address - Street 1:402 W BIJOU ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-1309
Practice Address - Country:US
Practice Address - Phone:719-634-5518
Practice Address - Fax:719-634-1455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8499261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy