Douglass Woodrow Black, PT, DPT, ATC, CSCS

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PTL.0007135 Issued in CO

Practice address

1650 Cochrane Cir BLDG 7503
Fort Carson, CO 80913-4613

Phone

(719) 526-7120

Fax

(719) 526-7072

NPI assigned

Feb 1, 2007

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1710025085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 HAWKEYE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191702",
            "telephone_number": "719-246-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR BLDG 7503",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7120",
            "fax_number": "719-526-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "DOUGLASS",
        "middle_name": "WOODROW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "PTL.0007135",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adamma Kitoye Biddulph, DA
• Sandra Lee Bierling, MD
• Darin Ray Bingham, O.D.
• John Steven Birchfield, M.D.
• Luke Bitton, PSYD
• William L Black, M.D.
• Mark William Blackley, PHYSICAL THERAPIST
• Sam Blair, MD
• Lydia Kay Blondin, PT, DPT, OCS, CSCS
• Selena A. Bobula, DPT

• Sports Physical Therapist in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Sports Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.