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DR. DOUGLASS WOODROW BLACK PT DPT ATC CSCS NPI 1710025085


NPI Information

NPI: 1710025085
Provider Name: DR. DOUGLASS WOODROW BLACK, PT, DPT, ATC, CSCS
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
1650 COCHRANE CIR BLDG 7503
FORT CARSON, CO
ZIP 80913
Phone: (719) 526-7120
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DR. Douglass Woodrow Black, PT, DPT, ATC, CSCS is a sports physical therapist in Fort Carson, CO. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. DR. Douglass Woodrow Black, PT, DPT, ATC, CSCS NPI is 1710025085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1650 COCHRANE CIR BLDG 7503
FORT CARSON, CO
ZIP 80913-613
Phone: (719) 526-7120
Fax: (719) 526-7072

The enumeration date for this NPI number is 2/1/2007 and was last updated on 4/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12255A2300XSpecialist/TechnologistAthletic Trainer0696NORTH CAROLINANo
22255A2300XSpecialist/TechnologistAthletic TrainerAT.0001799COLORADONo
32251S0007XPhysical TherapistSportsPTL.0007135COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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