Individual provider · Type 1 NPI

Douglass Woodrow Black, PT, DPT, ATC, CSCS

Sports Physical Therapist · Fort Carson, CO

NPI number 1710025085 Active

Practice location

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

Fax (719) 526-7072

Mailing address

6426 Hawkeye Cir
Colorado Springs, CO 80919-1702

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAT.0001799 (CO)
Sports Physical Therapist Primary 2251S0007XPTL.0007135 (CO)

Sports Physical Therapist: 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, medica…

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About NPI 1710025085

Douglass Woodrow Black, PT, DPT, ATC, CSCS's National Provider Identifier is 1710025085, issued on Feb 1, 2007. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Fort Carson, CO. The record was last updated on Jan 6, 2025.