NPIMap

Organization Active NPI

Dynamic Physical Therapy LLC

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1063571883
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DYNAMIC PHYSICAL THERAPY LLC
Practice address
6375 Lehman Dr Ste 100
Colorado Springs, CO 80918-1427
Phone
(719) 434-7044
Fax
(719) 375-1276
NPI assigned
Dec 7, 2006
Last updated
Jun 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stacey Lyn WelfelNPI 1144930504
Title
President
Phone
(719) 434-7044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

6375 Lehman Dr Ste 100
Colorado Springs, CO 80918-1427

Mailing address

6375 Lehman Dr Ste 100
Colorado Springs, CO 80918-1427
Phone (719) 434-7044

Other practice location 1

2855 International Cir
Colorado Springs, CO 80910-3144
Phone (719) 494-1002

Other practice location 2

1630 Fortino Blvd
Pueblo, CO 81008-1856
Phone (719) 434-7044

Other practice location 3

5775 N Union Blvd
Colorado Springs, CO 80918-1744
Phone (719) 434-7044

Other identifiers 2

IdentifierTypeStateIssuer
68501030MedicaidCO
DG0530OtherCORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070319000668 CO Part B Supplier - Clinic/Group Practice 7810090446 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
Practice locations: Pueblo, CO; Colorado Springs, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Physical Therapy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1063571883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 LEHMAN DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181427",
            "telephone_number": "719-434-7044",
            "fax_number": "719-375-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 LEHMAN DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181427",
            "telephone_number": "719-434-7044",
            "fax_number": "719-375-1276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 International Cir",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809103144",
            "country_code": "US",
            "telephone_number": "719-494-1002",
            "fax_number": "719-494-1824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Fortino Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810081856",
            "country_code": "US",
            "telephone_number": "719-434-7044",
            "fax_number": "719-375-1276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5775 N Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809181744",
            "country_code": "US",
            "telephone_number": "719-434-7044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "WELFEL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-434-7044"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68501030",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG0530",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.