Provider Demographics
NPI:1629430913
Name:FALCAO, PAULO (PT)
Entity Type:Individual
Prefix:
First Name:PAULO
Middle Name:
Last Name:FALCAO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 S KIPLING PKWY STE A4
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-1375
Mailing Address - Country:US
Mailing Address - Phone:303-274-7331
Mailing Address - Fax:
Practice Address - Street 1:5005 S KIPLING PKWY STE A4
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1375
Practice Address - Country:US
Practice Address - Phone:303-274-7331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0012840225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist