Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Village Physical Therapy, PC

Organization Physical Therapist · NPI 1790805000

Village Physical Therapy, PC is a Physical Therapist in Canon City, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 Latigo Ln Ste A
Canon City, CO 81212-8112
Phone: (719) 562-0328
Fax: (719) 575-0872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1497 (CO)

Record details

NPI number1790805000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Childs — Owner-President · (719) 577-4104
NPI enumeratedMarch 30, 2007
Last updated in NPPESMay 10, 2010
Mailing address545 E Pikes Peak Ave, Suite 320, Colorado Springs, CO 80903-3637

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