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

Dr. Bennett Shake, DPT

Individual provider Physical Therapist · NPI 1235648866

Dr. Bennett Shake, DPT is a Physical Therapist in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4224 N Nevada Ave Ste 200
Colorado Springs, CO 80907-4368
Phone: (719) 900-1817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0017676 (CO)

Record details

NPI number1235648866
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 27, 2017
Last updated in NPPESMay 2, 2024
Certification dateMarch 25, 2024

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