Individual provider Active NPI

Georgia Lynn Norgren, DPT

  • Physical Therapist
  • Winter Park, CO
National Provider Identifier
1053400192
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7050 Issued in CO
Practice address
554 Baker Drive
Winter Park, CO 80482-0283
Phone
(303) 726-9805
NPI assigned
Oct 12, 2006
Last updated
Apr 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7050 CO Primary

Addresses

Primary practice location

554 Baker Drive
Winter Park, CO 80482-0283

Mailing address

PO Box 283
Winter Park, CO 80482-0283
Phone (303) 726-9805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090904000431 WA Practitioner - Physical Therapist in Private Practice 9830188424 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7050COMDMechanotherapist
4710ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Colville Nation Community Health Centers Current Accepting new patients
Colville Nation Community Health Centers CurrentSince Jul 17, 2023 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Sara J. Manwiller, Inc Physical Therapist PastSince Jun 13, 2016 Accepting new patients
Vail Physical Therapy, LLC Physical Therapist PastSince Apr 1, 2020 Accepting new patients
Vail Sports Medicine Physical Therapy PC Physical Therapist PastSince Sep 1, 2019 Accepting new patients

Locations

1880 Pottery Ave
Ste 100
Port Orchard, WA 98366
Phone (360) 859-9090

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1053400192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "WINTER PARK",
            "state": "CO",
            "postal_code": "804820283",
            "telephone_number": "303-726-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 BAKER DRIVE",
            "city": "WINTER PARK",
            "state": "CO",
            "postal_code": "804820283",
            "telephone_number": "303-726-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORGREN",
        "first_name": "GEORGIA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.