Active NPI
Ellen Furr, PT, DPT
- Physical Therapist
- Flagstaff, AZ
National Provider Identifier
1083830681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0866
- Practice address
- 3485 Hidden Hollow Rd
Flagstaff, AZ 86001-3819 - Phone
- (928) 556-8664
- Fax
- (928) 779-2331
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 0866 | AZ | Primary |
Addresses
Primary practice location
3485 Hidden Hollow Rd
Flagstaff, AZ 86001-3819
Mailing address
3485 Hidden Hollow Rd
Flagstaff, AZ 86001-3819
Phone (928) 556-8664
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0866 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083830681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3485 HIDDEN HOLLOW RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013819",
"telephone_number": "928-556-8664",
"fax_number": "928-779-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 HIDDEN HOLLOW RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013819",
"telephone_number": "928-556-8664",
"fax_number": "928-779-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURR",
"first_name": "ELLEN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "0866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.