Individual provider Active NPI

Stacey Lyn Welfel, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1144930504
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1158972 Issued in TX
Practice address
5775 N Union Blvd
Colorado Springs, CO 80918-1744
Phone
(197) 434-7044
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1158972 TX Primary
Physical Therapist 225100000X PTL.0019329 CO

Addresses

Primary practice location

5775 N Union Blvd
Colorado Springs, CO 80918-1744

Mailing address

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

Other practice location 1

2855 International Cir
Colorado Springs, CO 80910-3144
Phone (719) 447-8822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010003376 CO Practitioner - Physical Therapist in Private Practice 7416301379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1158972TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy LLC Physical Therapist Current Accepting new patients
Dynamic Physical Therapy LLC Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients
SLG Hearts at Home LLC CurrentSince Feb 4, 2024 Accepting new patients
Dynamic Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

6375 Lehman Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 633-1494

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

5775 N Union Blvd
Ste 200
Colorado Springs, CO 80918
Phone (719) 434-7044

2855 International Cir
Colorado Springs, CO 80910
Phone (719) 447-8822

10700 Richmond Ave
Ste 274
Houston, TX 77042
Phone (713) 263-3967

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1144930504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181744",
            "telephone_number": "719-434-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181744",
            "telephone_number": "197-434-7044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 International Cir",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809103144",
            "country_code": "US",
            "telephone_number": "719-447-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELFEL",
        "first_name": "STACEY",
        "middle_name": "LYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1158972",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019329",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 12, 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.