Provider Demographics
NPI:1972027001
Name:DELGADO, RICARDO ARMANDO JR (PT, DPT)
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:ARMANDO
Last Name:DELGADO
Suffix:JR
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 TELSTAR DR STE 115
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1029
Mailing Address - Country:US
Mailing Address - Phone:719-282-2320
Mailing Address - Fax:719-282-2330
Practice Address - Street 1:600 S 21ST ST UNIT 130
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3763
Practice Address - Country:US
Practice Address - Phone:719-634-1110
Practice Address - Fax:719-634-1112
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0016896225100000X
TX1309412225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX39020000XOtherMILITARY NPI