Active NPI
Flora N Dewald, MPT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1487903076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5073
- Practice address
- 9559 Pancake Rocks Trail
Colorado Springs, CO 80924 - Phone
- (719) 227-7109
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5073 | CO | Primary |
Addresses
Primary practice location
9559 Pancake Rocks Trail
Colorado Springs, CO 80924
Mailing address
9559 Pancake Rocks Trail
Colorado Springs, CO 80924
Phone (719) 227-7109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5073 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1487903076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9559 PANCAKE ROCKS TRAIL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80924",
"telephone_number": "719-227-7109",
"fax_number": "719-571-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9559 PANCAKE ROCKS TRAIL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80924",
"telephone_number": "719-227-7109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWALD",
"first_name": "FLORA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "5073",
"primary": true
}
],
"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 Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.