Active NPI
Kenneth R Scherer, DPT
- Physical Therapist
- Flagstaff, AZ
National Provider Identifier
1043072838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1110 E Route 66 Ste 100
Flagstaff, AZ 86001-4772 - Phone
- (928) 773-9695
- NPI assigned
- Jan 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1110 E Route 66 Ste 100
Flagstaff, AZ 86001-4772
Mailing address
3103 E Mount Elden Dr
Flagstaff, AZ 86004-3923
Phone (408) 483-4164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1043072838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 E MOUNT ELDEN DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860043923",
"telephone_number": "408-483-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 E ROUTE 66 STE 100",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014772",
"telephone_number": "928-773-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERER",
"first_name": "KENNETH",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-26",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
- Sandip M Savaliya, M.D.
- Douglas Michael Savery, O.D.
- Theodore J Sawulski, RPH
- Kimberly Ann Sayles, LMSW
- Gretchen Karr Schaber, NURSE PRACTITIONER
- Aimee Elizabeth Schiebe, MS, CCC-SLP
- Natalie Rae Schiffer, LMT
- Sheila Wynne Schill, PT
- Marie Danielle Schimmel Penninck, MED LMFT
- Douglas Mark Schlagel, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.